Individual
MS. MARY LISA BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3913 FOXHILL DR, ELLICOTT CITY, MD 21042-5311
(443) 765-3814
Mailing address
3913 FOXHILL DR, ELLICOTT CITY, MD 21042-5311
(443) 765-3814
Taxonomy
Speciality
Code
Description
License number
State
225XE0001X
Environmental Modification Occupational Therapist
Primary
04470
MD
Other
Enumeration date
02/16/2019
Last updated
02/16/2019
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