Individual
MISS LOURDES BERNADETTE VERDERA POTESTADES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, OCS
Contact information
Practice address
5 N LA PLATA CT STE 102, LA PLATA, MD 20646-5207
(301) 609-5494
(301) 392-6109
Mailing address
4670 PRESTANCIA PL APT 102, WALDORF, MD 20602-4124
(443) 538-2987
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23535
MD
225100000X
Physical Therapist
P11371
NC
Other
Enumeration date
10/25/2007
Last updated
11/22/2024
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