Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 05908 | MD |
NPI | 1073780177 |
---|---|
Provider Name | Ms. Jennifer Eginton |
First Address | Baltimore, MD 21286-3318 |
Second Address | Baltimore, MD 21286-3318 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2008 |
Last Update Date | 08/05/2008 |