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1417312489
DIANE A VESTAL
BALTIMORE, MD
NPI
1417312489
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MD A00725)
Enumeration Date
2015-12-17
Last Update Date
2015-12-17
Business Address
DIANE A VESTAL OTA/L
1320 WINDLASS DR
BALTIMORE, MD 21220-4100
Phone number: 410-918-2139
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Mailing Address
DIANE A VESTAL OTA/L
311 TAPLOW RD
BALTIMORE, MD 21212-3540
Phone number: 410-530-1645
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