Individual
EMILSON THEODORE HILARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11340 PEMBROOKE SQ STE 211, WALDORF, MD 20603-4808
(240) 530-8188
(301) 638-0470
Mailing address
11340 PEMBROOKE SQ STE 211, WALDORF, MD 20603-4808
(240) 530-8188
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4698
MD
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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