Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 0119000229 | VA |
Y | 225X00000X | Occupational Therapist | 07441 | MD |
N | 225XE0001X | Environmental Modification | ||
N | 225XG0600X | Occupational Therapist - Gerontology |
NPI | 1588958862 |
---|---|
Provider Name | Ms. Margery Fox Kwart |
First Address | Baltimore, MD 21208-3201 |
Second Address | Baltimore, MD 21208-3201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2011 |
Last Update Date | 23/03/2020 |