SearchMaryland224Z00000X

Diane Vestal, OTA/L

NPI 1417312489 · on the registry since 2015

Practice

Address
1320 Windlass Dr
Baltimore, MD 21220
Phone
(410) 918-2139
Organisation at this address
Chancellor Health Care Of California Iv, Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-12-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland