Individual
MRS. MAUREEN JOYCE AVIGUETERO SUBIATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3290 N RIDGE RD, SUITE 290, ELLICOTT CITY, MD 21043-3655
(562) 552-7643
Mailing address
3290 N RIDGE RD, SUITE 290, ELLICOTT CITY, MD 21043-3655
(562) 552-7643
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NJ
Other
Enumeration date
04/12/2008
Last updated
04/12/2008
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