Individual
MS. ELISE NICOLE STANISLAV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2130 HIDEAWAY CT, ANNAPOLIS, MD 21401-2900
(443) 812-8288
Mailing address
2130 HIDEAWAY CT, ANNAPOLIS, MD 21401-2900
(443) 812-8288
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08372
MD
Other
Enumeration date
04/02/2018
Last updated
02/23/2024
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