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JENNIFER V BAIKAUSKAS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
998 HOSPITALITY WAY, SUITE 101, ABERDEEN, MD 21001-1779
(410) 273-9776
(410) 273-9777
Mailing address
15 NICHOLAS ALEXANDER DR, PORT DEPOSIT, MD 21904-1012

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19599
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
61127103
BS MARYLAND
MD
01
G6140018
BS FEP & DC
DC
Enumeration date
05/26/2006
Last updated
07/08/2007
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