Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant |
NPI | 1013271980 |
---|---|
Provider Name | Giselle M Abreu |
First Address | Baltimore, MD 21236 |
Second Address | Baltimore, MD 21236-4701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2012 |
Last Update Date | 26/06/2012 |