Individual
AMANDA NICOLE POPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
600 REISTERSTOWN RD, PIKESVILLE, MD 21208-5104
(410) 415-6505
Mailing address
42 KINGSLEY RD, OWINGS MILLS, MD 21117-1804
(410) 591-5808
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
05277
MD
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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