Individual
CASIE MARIE PHETTEPLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
40845 MERCHANTS LN, LEONARDTOWN, MD 20650-3767
(240) 530-8188
(301) 638-0470
Mailing address
40845 MERCHANTS LN, LEONARDTOWN, MD 20650-3767
(240) 530-8188
(301) 638-0470
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26060
MD
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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