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Individual

MISS MAYA JERNELL WATKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
6600 RIDGE RD, BALTIMORE, MD 21237-4209
(410) 574-4950
Mailing address
236 GLENDORA AVE, LOUISVILLE, KY 40212-2530
(502) 744-5013

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
05906
MD

Other

Enumeration date
05/02/2007
Last updated
07/08/2007
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