Page McDonald Crosby

Individual provider Active NPI Occupational Therapist · Monkton, MD

NPI 1528343142 · NPPES record last updated Oct 14, 2011

Key facts

NPI
1528343142
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
02078 (MD)
Practice address
1628 Corbett Rd
Monkton, MD 21111-1516
Phone
(410) 472-9073
NPI assigned
Oct 14, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
02078MDMDChiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 02078 MD Yes

Addresses

Primary practice location

1628 Corbett Rd
Monkton, MD 21111-1516

Mailing address

1628 Corbett Rd
Monkton, MD 21111-1516

Other providers in Monkton, MD

All providers in Monkton, MD · Occupational Therapist in Maryland

Sources for this page

Verify at the official NPI Registry.