Individual
MARY ANTHONETTE SUPELANA SEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2434 W BELVEDERE AVE, BALTIMORE, MD 21215-5267
(410) 601-2256
Mailing address
551 RHAPSODY CT, COCKEYSVILLE, MD 21030-1915
(443) 248-9735
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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