Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | A01420 | MD |
NPI | 1003940370 |
---|---|
Provider Name | Karen Dell |
First Address | Pasadena, MD 21122-2638 |
Second Address | Annapolis, MD 21401-7427 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2007 |
Last Update Date | 08/07/2007 |