Individual
ILANA GOLUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6511 EDENVALE RD, BALTIMORE, MD 21209-3303
(443) 286-7394
Mailing address
6511 EDENVALE RD, BALTIMORE, MD 21209-3303
(443) 286-7394
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
03265
MD
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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