Individual
LESLIE ANN WALLOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2661 RIVA RD, BLDG 600, SUITE 601, ANNAPOLIS, MD 21401-7353
(410) 266-6626
(410) 266-3026
Mailing address
105 INDIAN SPRING CT, STEVENSVILLE, MD 21666-3213
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17007
MD
Other
Enumeration date
09/12/2006
Last updated
07/08/2007
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