Individual
BRYAN JOHN WODASKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS OTRL CHT
Contact information
Practice address
200 GLENN STREET, STE 200, CUMBERLAND, MD 21502
(301) 759-4263
(301) 759-4461
Mailing address
PO BOX 1517, CUMBERLAND, MD 21501-1517
(301) 759-6317
(301) 759-4461
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
03241
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159766000
—
WV
Enumeration date
08/04/2006
Last updated
03/27/2008
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