Individual
LINA DEBOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
109 FOREST VALLEY DR, FOREST HILL, MD 21050-2831
(410) 776-6038
Mailing address
109 FOREST VALLEY DR, FOREST HILL, MD 21050-2831
(410) 776-6038
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1172
MD
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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