Individual
ELEANOR MARIE MOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
7309 2ND AVE, SYKESVILLE, MD 21784-7531
(410) 549-6728
Mailing address
5046 FRETER RD, SYKESVILLE, MD 21784-9307
(410) 795-0455
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16075
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16075
MARYLAND BOARD OF PHYSICAL THERAPY EXAMINERS
MD
Enumeration date
09/25/2009
Last updated
09/25/2009
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