Individual
JEFFREY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1055 W JOPPA RD, TOWSON, MD 21204-3741
(410) 494-7792
Mailing address
1055 W JOPPA RD, TOWSON, MD 21204-3741
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
04744
MD
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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