TRACIE L KIDWELL

ANNAPOLIS, MD
NPI1831309442
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: MD  01796)
Enumeration Date2007-05-23
Last Update Date2007-07-08
Business Address
Mrs. TRACIE L KIDWELL OT
2644 RIVA RD
ANNAPOLIS, MD 21401-7427
Phone number: 410-222-5000
Mailing Address
Mrs. TRACIE L KIDWELL OT
291 WAYCROSS WAY
ARNOLD, MD 21012
Phone number: 410-647-2510