NPI 1033885231

Laura Jean Provost

Practitioner Orientation and Mobility Training Rehabilitation Counselor Baltimore, MD

Practice location

Address: 3501 Taylor Ave, Baltimore, MD 21236-4406
Phone: (410) 444-5000
Mailing address: 1618 Cedar Park Rd, Annapolis, MD 21401-3209

Registered specialties

Orientation and Mobility Training Rehabilitation Counselor Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225CX0006X Licence 23025 (MD)

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Registry record

NPI: 1033885231
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Aug 2021
Record last updated: 18 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.