Individual
RENEE M HEROLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
11 KELLER RD, SUITE B, PIKESVILLE, MD 21208-1308
(410) 653-3161
Mailing address
11 KELLER RD, SUITE B, PIKESVILLE, MD 21208-1308
(410) 653-3161
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
05959
MD
Other
Enumeration date
09/06/2011
Last updated
09/10/2013
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