Individual
MRS. LIESL ANNE MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
3900 LOCH RAVEN BLVD, BALTIMORE, MD 21218-2108
(410) 605-7513
Mailing address
33 LEXINGTON DR, SHREWSBURY, PA 17361-1903
(717) 227-2207
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
03152
MD
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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