Individual
KYLIE WATERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
820 RITCHIE HWY STE 100, SEVERNA PARK, MD 21146-4111
(443) 481-1140
Mailing address
2001 MEDICAL PKWY, ANNAPOLIS, MD 21401-3773
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/15/2020
Last updated
10/25/2022
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