Individual
LAUREN DAYLE KNAUFF STACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6334 CEDAR LN, COLUMBIA, MD 21044-3898
(410) 531-5300
Mailing address
3300 N RIDGE RD, ELLICOTT CITY, MD 21043-3383
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4940
MD
Other
Enumeration date
05/03/2020
Last updated
05/03/2020
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