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Individual

ALISON MARIE PREMATTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6501 N CHARLES ST, TOWSON, MD 21204-6819
(410) 938-3000
Mailing address
2129 CAVES RD, OWINGS MILLS, MD 21117-2325
(443) 791-4700

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
409240
MD
225X00000X
Occupational Therapist
Primary
521164
MD

Other

Enumeration date
10/09/2018
Last updated
03/05/2025
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