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Individual

JOSEPHINE C PALMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L BBA

Contact information

Practice address
10596 TWIN RIVERS RD APT B1, COLUMBIA, MD 21044-2113
(240) 354-9711
Mailing address
10596 TWIN RIVERS RD APT B1, COLUMBIA, MD 21044-2113
(240) 354-9711

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
P-456-440-112-640
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P-456-440-112-640
STATE LICENSE
MD
Enumeration date
02/20/2013
Last updated
02/20/2013
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