Individual
BAMBA KOROMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11215 SEVEN LOCKS RD, POTOMAC, MD 20854-3260
(301) 983-1390
(301) 983-1498
Mailing address
11215 SEVEN LOCKS RD, POTOMAC, MD 20854-3260
(301) 983-1390
(301) 983-1498
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2767
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A2767
MD BOARD OF PT EXAMINERS
MD
Enumeration date
08/04/2009
Last updated
08/04/2009
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