Individual
MR. CHARLES ANDREW WASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
631 WASHINGTON BLVD, SUITE C, BALTIMORE, MD 21230-2214
(410) 986-0088
Mailing address
2412 HUDSON ST, BALTIMORE, MD 21224-3637
(410) 456-6045
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
03812
MD
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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