Individual
JULIE REICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
141 S MAIN ST, BOONSBORO, MD 21713-1203
(301) 462-5457
Mailing address
141 S MAIN ST, BOONSBORO, MD 21713-1203
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A02324
MD
224Z00000X
Occupational Therapy Assistant
OP008436
PA
Other
Enumeration date
04/11/2016
Last updated
04/12/2016
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