Individual
MRS. ADRIENNE MARIE GORRETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1 MAGNOLIA DR, LA PLATA, MD 20646-9357
(301) 870-3125
Mailing address
26394 PENNINSULAR DR, HOLLYWOOD, MD 20636-2477
(757) 227-4048
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A01831
MD
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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