Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 04892 | MD |
Y | 2251E1200X | Ergonomics | 04892 | MD |
Y | 225XE1200X | Ergonomics | 04892 | MD |
NPI | 1619393345 |
---|---|
Provider Name | Kelsey Mccoskey |
First Address | Baltimore, MD 21230-4513 |
Second Address | Baltimore, MD 21230-4513 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2014 |
Last Update Date | 05/03/2014 |