Individual
MIA A COUNTISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
11701 LIVINGSTON RD STE 202, FORT WASHINGTON, MD 20744-5136
(110) 456-2537
Mailing address
7530 ABBINGTON DR, OXON HILL, MD 20745-1509
(301) 377-2524
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/09/2022
Last updated
05/06/2024
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