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1568677581
MARY PAT FASICK
ANNAPOLIS, MD
NPI
1568677581
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: MD 05646)
Enumeration Date
2007-05-12
Last Update Date
2007-07-08
Business Address
-- MARY PAT FASICK OTR
122 DEFENSE HWY 224
ANNAPOLIS, MD 21401-7069
Phone number: 410-864-8718
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Mailing Address
-- MARY PAT FASICK OTR
14 GIDDINGS AVE
SEVERNA PARK, MD 21146-3308
Phone number: 410-647-5596
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