Individual
MR. JOSEPH H GWIAZDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
324 HONEY LOCUST COURT, BEL AIR, MD 21015
(443) 562-9573
Mailing address
324 HONEY LOCUST COURT, BEL AIR, MD 21015
(443) 562-9573
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
04589
MD
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OC010946
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002516549
HIGHMARK BLUE SHIELD
PA
01
—
615465500
US DEPT OF LABOR
PA
Enumeration date
08/02/2006
Last updated
10/03/2013
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