Individual
MRS. LAUREL ELAINE BEALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
140 STEPNEY LN, EDGEWATER, MD 21037-2801
(410) 956-3559
(410) 956-5889
Mailing address
706 WHITTINGTON DR, DEALE, MD 20751-2402
(410) 867-3455
(410) 867-3455
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
01868
MD
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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