Individual
JESSICA GHRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1070 LITTLE MAGOTHY VW, ANNAPOLIS, MD 21409-5054
(443) 517-3580
Mailing address
1070 LITTLE MAGOTHY VW, ANNAPOLIS, MD 21409-5054
(443) 517-3580
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3669
MD
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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