Individual
MR. TERRELL TRENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
3939 PENHURST AVE, BALTIMORE, MD 21215-5632
(202) 409-9895
Mailing address
808 HOLLINS ST, BALTIMORE, MD 21201-1004
(202) 409-9895
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400245800
—
MD
01
—
J381PR
BLUECROSSBLUESHIELD
MD
Enumeration date
10/02/2006
Last updated
07/09/2007
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