Individual
MRS. KIM HARRIS-GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1217 W FAYETTE ST, BALTIMORE, MD 21223-1938
(410) 727-3947
Mailing address
2109 SAINT PAUL ST APT 2, BALTIMORE, MD 21218-5873
(443) 527-1863
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2240
MD
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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