Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 03084 | MD |
NPI | 1003047614 |
---|---|
Provider Name | Linda Luca |
First Address | Germantown, MD 20874-1186 |
Second Address | Bel Air, MD 21014-4214 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2009 |
Last Update Date | 30/07/2009 |