Individual
MISS CHRISTINE MARIE BERUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
130 HOSPITAL RD, SUITE 130, PRINCE FREDERICK, MD 20678-4015
(410) 535-8180
(410) 535-8325
Mailing address
130 HOSPITAL RD, SUITE 130, PRINCE FREDERICK, MD 20678-4015
(410) 535-8180
(410) 535-8325
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
06604
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406409700
—
MD
Enumeration date
12/01/2010
Last updated
08/30/2012
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