Individual
MISS ZARA MERIATA EDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT ASSISTANT
Contact information
Practice address
115 E MELROSE AVE, BALTIMORE, MD 21212
(410) 435-9073
Mailing address
5919 LOCH RAVEN BLVD, BALTIMORE, MD 21239
(410) 323-8492
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2663
MD
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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