Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 05712 | MD |
NPI | 1275549412 |
---|---|
Provider Name | Michelle R Mccarty |
First Address | Middle River, MD 21220-1033 |
Second Address | Forest Hill, MD 21050-1758 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 23/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
382617193 | TAX IDENFICATION NUMBER (01) | MD |