Individual
GRACE SAMBUCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6901 N CHARLES ST, TOWSON, MD 21204-3780
(443) 616-9772
Mailing address
318 AIGBURTH RD, TOWSON, MD 21286-7336
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08815
MD
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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