| NPI | 1316182090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIE CAO Practice Administrator 410-569-5155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: MD 04344) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 02803) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2014-04-04 |