Individual
MICHELE QUIDORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8720 EMGE RD, PARKVILLE, MD 21234-3504
(410) 668-1961
Mailing address
601 N EUTAW ST, APT. 710, BALTIMORE, MD 21201-4526
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
03532
MD
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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