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Individual

JENNIFER IGHODARO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1120 SAINT PAUL ST, BALTIMORE, MD 21202-2618
(410) 685-7790
Mailing address
4306 ELDONE RD, BALTIMORE, MD 21229-4510
(443) 522-6312

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5880
MD

Other

Enumeration date
12/01/2023
Last updated
12/01/2023
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