| NPI | 1710144753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL GEBHARDT Director, Iwb 410-704-3097 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 02143) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2023-06-14 |