Individual
NICOLAUS MICHAEL MATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
844 WASHINGTON RD, SUITE 101, WESTMINSTER, MD 21157-5740
(410) 876-5600
(410) 876-1623
Mailing address
844 WASHINGTON RD, SUITE 101, WESTMINSTER, MD 21157-5740
(410) 876-5600
(410) 876-1623
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
06655
MD
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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