Individual
SHARON J TAVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6201 HEMLOCK WAY, CLINTON, MD 20735-3933
(301) 452-6822
Mailing address
6201 HEMLOCK WAY, CLINTON, MD 20735-3933
(301) 452-6822
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
02325
MD
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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