VICTORIA D ST.MIRE

BEL AIR, MD
NPI1730661265
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MD  A02627)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: PA  OP009390)
224Z00000X Occupational Therapy Assistant
(Licence: NJ  46TA09100700)
Enumeration Date2018-08-31
Last Update Date2018-08-31
Business Address
VICTORIA D ST.MIRE COTA
410 E MACPHAIL RD
BEL AIR, MD 21014-4410
Phone number: 410-879-1120
Mailing Address
VICTORIA D ST.MIRE COTA
941 CUMMINGS AVE
BLACKWOOD, NJ 08012-4008
Phone number: 856-227-0036