Individual
MS. JACQUELINE A RITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3290 N RIDGE RD STE 290, ELLICOTT CITY, MD 21043-3657
(410) 988-5819
Mailing address
3272 KAISER DR, ELLICOTT CITY, MD 21043-4555
(410) 988-5819
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070016843
IL
Other
Enumeration date
02/10/2009
Last updated
02/10/2009
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