Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 09216 | MD |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 09216 | MD |
NPI | 1841884491 |
---|---|
Provider Name | Kaitlyn Elizabeth Freed |
First Address | Pasadena, MD 21122-2454 |
Second Address | Baltimore, MD 21215-3608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2021 |
Last Update Date | 24/02/2021 |