Individual
KONAH BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
05866
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05866
MARYLAND BOARD OF OCCUPATIONAL THERAPY PRACTICE
MD
Enumeration date
10/15/2009
Last updated
03/25/2019
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