Individual
MR. EDWARD ANATOL SURAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
35 MILKSHAKE LN, ANNAPOLIS, MD 21403-1507
(410) 269-5100
Mailing address
331 ARGUS LN, GLEN BURNIE, MD 21061-6178
(410) 768-6454
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
04492
MD
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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