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Organization

TOTAL ASSIST HOME THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRACY GORNOWSKI OTR/L (MANAGING MEMBER/OWNER)
(609) 502-4322
Entity
Organization

Contact information

Practice address
5312 CHASE LIONS WAY, COLUMBIA, MD 21044-5596
(609) 502-4322
Mailing address
5312 CHASE LIONS WAY, COLUMBIA, MD 21044-5596
(609) 502-4322

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
07/08/2021
Last updated
07/08/2021
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