Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 01708 | MD |
NPI | 1124148697 |
---|---|
Provider Name | Laura Jean Mccarthy |
First Address | Columbia, MD 21046-1107 |
Second Address | Columbia, MD 21046-1107 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2007 |
Last Update Date | 13/09/2021 |