Individual
ASHASHA TSELAT SUMBATYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1221 MERCANTILE LN, LARGO, MD 20774-5374
(301) 904-5973
Mailing address
704 CHANEY DR APT 2, TAKOMA PARK, MD 20912-6366
(202) 476-9213
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5261
MD
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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