Elaine Roberta Medlin

NPI #1063983872 in Glen Burnie, Maryland

Provider Information

NPI Number: 1063983872
Entity Type: Individual
Name: Elaine Roberta Medlin
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Dec 6, 2018
Last Updated: Dec 6, 2018

Practice Location

Address: 1450 FURNACE AVE
City: Glen Burnie
State: Maryland
ZIP Code: 21060-7002
Phone: (410) 222-6911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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