Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 04198 | MD |
NPI | 1285150011 |
---|---|
Provider Name | Janice M Cortis |
First Address | Salisbury, MD 21801-8466 |
Second Address | Salisbury, MD 21801-5422 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2017 |
Last Update Date | 14/08/2017 |