Individual
LINDA JEAN DISNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
24 TRUCK HOUSE RD, SEVERNA PARK, MD 21146-2715
(410) 544-4220
(410) 647-9484
Mailing address
1325 PLEASANT MEADOW RD, CROFTON, MD 21114-2651
(410) 451-1249
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A01610
MD
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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