Individual
TERESA DIBATTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
14409 GREENVIEW DR, STE 102, LAUREL, MD 20708-3293
(301) 498-8100
(301) 498-0009
Mailing address
PO BOX 500, BROOKEVILLE, MD 20833-0500
(301) 498-8100
(301) 498-0009
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A00641
MD
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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