Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225CX0006X | Orientation and Mobility Training Provider | 1315 | MD |
NPI | 1184278053 |
---|---|
Provider Name | Christopher James Tabb |
First Address | Baltimore, MD 21236-4406 |
Second Address | Baltimore, MD 21236-4406 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2019 |
Last Update Date | 30/07/2019 |