Individual
MRS. ASHLEY ELIZABETH WALDUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
166 GOLDSBOROUGH DR, ODENTON, MD 21113-4003
(410) 647-6473
Mailing address
166 GOLDSBOROUGH DR, ODENTON, MD 21113-4003
(410) 647-6473
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3704
MD
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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