Individual
WAYNE TART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OCCUPATIONAL THERAPI
Contact information
Practice address
2801 RUSTIC MANOR CT, GLENWOOD, MD 21738-9747
(410) 245-4188
Mailing address
2801 RUSTIC MANOR CT, GLENWOOD, MD 21738-9747
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
03515
MD
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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