NPI 1396183471

Beth Wise

Practitioner Occupational Therapy Assistant Berlin, MD

Practice location

Address: 9715 Healthway Dr, Berlin, MD 21811-3500
Phone: (410) 629-6148

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence T00269 (MD)

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Registry record

NPI: 1396183471
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jun 2013
Record last updated: 11 Jun 2013

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.