Individual
PATTI ELIZABETH BRORSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4446 MILLERS STATION RD, MANCHESTER, MD 21102-2320
(410) 596-8034
Mailing address
4446 MILLERS STATION RD, MANCHESTER, MD 21102-2320
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1121
MD
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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