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Organization

THERAGRO, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JEANINE M LINDENSTRUTH OTR/L (OCCUPATIONAL THERAPIST)
(410) 751-6800
Entity
Organization

Contact information

Practice address
505 OLD WESTMINSTER PIKE, WESTMINSTER, MD 21157-6223
(410) 751-6800
Mailing address
1185 LARKSPUR RD, WESTMINSTER, MD 21157-3363
(410) 751-6800

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
02915
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02915
OCCUPATIONAL THERAPIST LICENSE
MD
Enumeration date
05/02/2008
Last updated
05/02/2008
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