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Individual

DR. KRISTIE LEE CHISHOLM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12711 MILAN WAY, BOWIE, MD 20715-1611
(410) 935-9150
Mailing address
258 MOREAU LN, SEVERNA PARK, MD 21146-2158
(410) 935-9150

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
03090
MD

Other

Enumeration date
12/18/2018
Last updated
12/18/2018
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