Angela Renee Liston OTR/L

NPI 1750616413 - Occupational Therapist - 225X00000X

NPI Details
NPI 1750616413
Gender Female
Enumeration Date 10/13/2009
Last Updated 10/13/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
4322 OWENSBROOKE CT
WEST RIVER MD, 20778-9791, US
Phone (410) 867-4626
Fax
Business Location
4322 OWENSBROOKE CT
WEST RIVER MD, 20778-9791, US
Phone (410) 867-4626
Fax
Toxanomy
Taxonomy Code 225X00000X
License State Maryland
License Number 05409
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According to our database, Mrs. Angela Renee Liston OTR/L NPI is 1750616413, taxonomy code is 225X00000X and license number is 05409, license state is located at Maryland. Angela Renee Liston OTR/L physically located at 4322 Owensbrooke Ct, West River MD, 20778-9791. NPI Number Angela Renee Liston OTR/L has the Individual type.

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1750616413 NPI number is provided on an as is basis without warranty of any kind. 1750616413 is maintained by the National Plan & Provider Enumeration System. The contents of Angela Renee Liston OTR/L are for informational purposes only.