Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 05262 | MD |
NPI | 1003143355 |
---|---|
Provider Name | Sylvia Toussaint |
First Address | Laurel, MD 20708-3293 |
Second Address | Laurel, MD 20708-3293 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2009 |
Last Update Date | 06/11/2009 |