Individual
AMANDA KORPON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8110 HILLENDALE RD, PARKVILLE, MD 21234-5248
(410) 491-2634
Mailing address
8110 HILLENDALE RD, PARKVILLE, MD 21234-5248
(410) 491-2634
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
06381
MD
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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