Individual
YEHUDIT ROOSHANSHAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3419 OLYMPIA AVE APT A, BALTIMORE, MD 21215-1742
(443) 314-0967
Mailing address
3419 OLYMPIA AVE APT A, BALTIMORE, MD 21215-1742
(443) 314-0967
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08703
MD
Other
Enumeration date
03/29/2019
Last updated
11/25/2020
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