Individual
MIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9975 MEDICAL CENTER DR, ROCKVILLE, MD 20850-3316
(301) 738-9691
Mailing address
5017 COLUMBIA RD APT 301, COLUMBIA, MD 21044-5619
(301) 801-5720
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08253
MD
Other
Enumeration date
08/24/2017
Last updated
03/17/2018
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