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1841858248
DIANE LYN MICK
BALTIMORE, MD
NPI
1841858248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MD 01433)
Enumeration Date
2019-05-31
Last Update Date
2019-05-31
Business Address
DIANE LYN MICK OTR/L
2001 N WARWICK AVE
BALTIMORE, MD 21216-3203
Phone number: 410-396-0833
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Mailing Address
DIANE LYN MICK OTR/L
1113 1/2 BAKER AVE
BALTIMORE, MD 21207-4717
Phone number: 410-733-4663
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