Individual
MICHAEL LAGONERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6300 WOODSIDE CT, CENTRAL MARYLAND REHAB CENTER, COLUMBIA, MD 21046-1098
(410) 312-9000
(410) 312-9001
Mailing address
6300 WOODSIDE CT, CENTRAL MARYLAND REHAB CENTER, COLUMBIA, MD 21046-1098
(410) 312-9000
(410) 312-9001
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3048
MD
Other
Enumeration date
04/03/2007
Last updated
10/04/2010
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