Individual
MARY GERTRUDE ROLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
2217 COMMERCE RD, FOREST HILL, MD 21050-2565
(410) 638-0700
(410) 638-6790
Mailing address
4115 4TH ST, BALTIMORE, MD 21225-2326
(410) 638-0700
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1850
MD
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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