Provider Demographics
NPI:1821708884
Name:ROLING, CECILIA MARIE (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:CECILIA
Middle Name:MARIE
Last Name:ROLING
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8805 COUNTRY OAK DR
Mailing Address - Street 2:
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-2290
Mailing Address - Country:US
Mailing Address - Phone:443-883-6914
Mailing Address - Fax:
Practice Address - Street 1:8805 COUNTRY OAK DR
Practice Address - Street 2:
Practice Address - City:ODENTON
Practice Address - State:MD
Practice Address - Zip Code:21113-2290
Practice Address - Country:US
Practice Address - Phone:443-883-6914
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-30
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD09807225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist