Healthcare Provider Details

I. General information

NPI: 1699570960
Provider Name (Legal Business Name): KONLIAN,O'NEILL & ASSOCIATES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2025
Last Update Date: 02/19/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

598 CYNWOOD DR STE 101
EASTON MD
21601-3875
US

IV. Provider business mailing address

659 S SALISBURY BLVD STE 1B
SALISBURY MD
21801-5458
US

V. Phone/Fax

Practice location:
  • Phone: 410-770-9720
  • Fax: 410-770-9725
Mailing address:
  • Phone: 410-831-3226
  • Fax: 410-572-4041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: JANICE M BALDWIN
Title or Position: REGIONAL MANAGER
Credential:
Phone: 410-831-3226