Individual
TAYLOR MINDERLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1 SEAHAWK DR, NORTH EAST, MD 21901-1900
(443) 617-9246
Mailing address
4391 FEDERAL HILL RD, STREET, MD 21154-1124
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000878
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
RESPIRATORY, REHABILITATIVE AND RESTORATIVE
—
Enumeration date
11/14/2018
Last updated
11/14/2018
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