Individual
PATRICIA ANN IAMMATTEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., O.T.R./L.
Contact information
Practice address
14701 BETULA WAY, DAYTON, MD 21036-1245
(301) 854-0005
Mailing address
14701 BETULA WAY, DAYTON, MD 21036-1245
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
02228
MD
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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