Individual
MS. MIRANDA STAUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1576 MERRITT BLVD STE 7, BALTIMORE, MD 21222-2114
(410) 650-2145
Mailing address
1218 FUSELAGE AVE, MIDDLE RIVER, MD 21220-4613
(240) 682-6406
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4336
MD
Other
Enumeration date
11/24/2015
Last updated
02/16/2024
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