Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Dec 6, 2010
License(s)
23971 (MD)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 3708 MOUNTAIN RD STE D | Pasadena, MD 21122-2025 | 410-255-4833 |
| MAILING | 350 NEW FIDELITY CT | Garner, NC 27529-2665 | 919-258-2714 |
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