Individual
LISA GUCINSKI WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 MITCHELLVILLE RD, #400A, BOWIE, MD 20716-3104
(301) 805-7110
Mailing address
16 HOLMEHURST AVE, BALTIMORE, MD 21228-4630
(410) 719-0369
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
19368
MD
Other
Enumeration date
01/29/2007
Last updated
06/03/2021
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