Individual
MAXIME FATAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
316 MILL POND LN APT 525, SALISBURY, MD 21804-2311
(410) 422-1119
(410) 422-1119
Mailing address
316 MILL POND LN APT 525, SALISBURY, MD 21804-2311
(410) 422-1119
(410) 422-1119
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
U2-0012336
DE
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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