Individual
TERESA KELLY MARVEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
2 HAMILL RD STE 320, BALTIMORE, MD 21210-1813
(443) 595-4673
Mailing address
806 GARY DR, KINGSVILLE, MD 21087-1040
(443) 243-9038
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
52938
MD
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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