Individual
ALLYSA LEE WINEGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11150 RESORT RD, ELLICOTT CITY, MD 21042-2050
(410) 461-7070
Mailing address
2540 LOG MILL CT, CROFTON, MD 21114-1863
(301) 395-5560
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A03118
MD
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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