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Individual

JENNIFER DERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.O.T.A.

Contact information

Practice address
7401 OSLER DR, SUITE 110, TOWSON, MD 21204-7673
(410) 296-8888
(410) 296-6745
Mailing address
7719 DANIELS AVE, PARKVILLE, MD 21234-6913
(410) 428-6367

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A00737
MD

Other

Enumeration date
02/27/2009
Last updated
02/27/2009
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