Gail Bacon, OTR/L

NPI #1780156380 in La Plata, Maryland

Provider Information

NPI Number: 1780156380
Entity Type: Individual
Name: Gail Bacon, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Dec 20, 2018
Last Updated: Dec 20, 2018

Practice Location

Address: 5980 RADIO STATION RD
City: La Plata
State: Maryland
ZIP Code: 20646-3337
Phone: (301) 751-2151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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