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Individual

MS. CAROLYN MARIE GUSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
5801 ALLENTOWN ROAD, SUITE 410, CAMP SPRINGS, MD 20746
(301) 238-4788
(301) 298-5442
Mailing address
5801 ALLENTOWN ROAD, SUITE 410, CAMP SPRINGS, MD 20746
(301) 238-4788
(301) 298-5442

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
100000251
DC
224Z00000X
Occupational Therapy Assistant
Primary
A02011
MD
224Z00000X
Occupational Therapy Assistant
OTA 13076
FL

Other

Enumeration date
04/12/2013
Last updated
11/25/2022
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