Individual
HENRY G MAYAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
12230 ROUNDWOOD RD, TIMONIUM, MD 21093-3233
(410) 252-0880
Mailing address
120 E RIDGELY RD, LUTHERVILLE, MD 21093-5223
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A02804
MD
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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