Individual
MRS. JODIE NEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR,L
Contact information
Practice address
200 SCOTT AVE, GLEN BURNIE, MD 21060-7760
(410) 222-6942
(410) 222-6943
Mailing address
867 IRON CORNER CT, ODENTON, MD 21113-2519
(410) 672-7578
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
02984
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02984
OT LICENSE
MD
Enumeration date
03/16/2007
Last updated
07/08/2007
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