Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 05566 | MD |
NPI | 1174938583 |
---|---|
Provider Name | Toni Savage |
First Address | Columbia, MD 21044-1223 |
Second Address | Columbia, MD 21044-1223 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2014 |
Last Update Date | 24/06/2014 |