Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 06545 | MD |
NPI | 1053970673 |
---|---|
Provider Name | Rivka Leah Tessler |
First Address | Baltimore, MD 21202-4888 |
Second Address | Baltimore, MD 21216-1837 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2019 |
Last Update Date | 07/06/2019 |