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Individual

MS. LIND G STEVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
11440 LITTLE PATUXENT PKWY, APT 708, COLUMBIA, MD 21044-3773
(443) 798-2930
(443) 798-2922
Mailing address
11440 LITTLE PATUXENT PKWY, APT 708, COLUMBIA, MD 21044-3773
(301) 642-2651
(443) 798-2922

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01162
MD
225X00000X
Occupational Therapist
0119004256
VA
225X00000X
Occupational Therapist
113142
TX
225X00000X
Occupational Therapist
OT010000496
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
280818001
TX
05
280818002
TX
Enumeration date
05/20/2006
Last updated
12/23/2021
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