Individual
LORI SISK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7633 MARCY DR, GLEN BURNIE, MD 21060-7634
(443) 802-9757
Mailing address
7633 MARCY DR, GLEN BURNIE, MD 21060-7634
(443) 802-9757
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A01640
MD
Other
Enumeration date
06/08/2014
Last updated
06/08/2014
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