| NPI | 1093486151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA BUCK SOUTHERLAND Occupational Therapist 443-564-7275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2021-09-27 |