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Organization
MINDFUL HEALTH & WELLNESS
Active
Organization
MINDFUL HEALTH & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH T HANSON PT (OWNER)
(410) 802-4762
Entity
Organization
Contact information
Practice address
3800 BOULDER CT, ELLICOTT CITY, MD 21042-3792
(410) 802-4762
Mailing address
3800 BOULDER CT, ELLICOTT CITY, MD 21042-3792
(410) 802-4762
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15500
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245740760
NPI
—
Enumeration date
10/31/2017
Last updated
10/31/2017
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