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1982019147
TALIA NISSAN
PIKESVILLE, MD
NPI
1982019147
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: MD 07409)
Enumeration Date
2014-06-26
Last Update Date
2014-06-26
Business Address
-- TALIA NISSAN OTR/L
15 WALKER AVE
PIKESVILLE, MD 21208-4023
Phone number: 410-358-1997
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Mailing Address
-- TALIA NISSAN OTR/L
3608 BANCROFT RD
BALTIMORE, MD 21215-3227
Phone number: 410-358-1997
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