Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251E1200X | Ergonomics | 03642 | MD |
N | 225XE1200X | Ergonomics | 03642 | MD |
N | 225XH1200X | Occupational Therapist - Hand | 03642 | MD |
N | 225XP0200X | Occupational Therapist - Pediatrics | 03642 | MD |
NPI | 1083754550 |
---|---|
Provider Name | Jill Marie Brune |
First Address | Pikesville, MD 21208-1308 |
Second Address | Pikesville, MD 21208-1308 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2007 |
Last Update Date | 08/07/2007 |