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Individual

SYLVA GRAVES UAGBOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSOTR/L

Contact information

Practice address
531 STEVENSON LN, TOWSON, MD 21286-7607
(410) 307-1295
Mailing address
5030 HILLTOP ACRES RD, PERRY HALL, MD 21128-9629
(410) 307-1295

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08157
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08157
MARYLAND BOARD OF OCCUPATIONAL THERAPY PRACTICE
MD
Enumeration date
08/16/2018
Last updated
08/16/2018
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