Individual
MIRIAM DEUTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1840 REISTERSTOWN RD, BALTIMORE, MD 21208-1305
(443) 467-6434
(410) 486-0301
Mailing address
3642 BANCROFT RD, BALTIMORE, MD 21215-3227
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
229885
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80320866
EIN
MD
Enumeration date
10/17/2012
Last updated
10/17/2012
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