Individual
TEASIA PROSISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 FAIRLAND RD, SILVER SPRING, MD 20904-5427
(434) 848-4766
Mailing address
12420 POOLE SIDING RD, CHURCH ROAD, VA 23833-2564
(804) 919-3497
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2306605167
VA
225200000X
Physical Therapy Assistant
Primary
CP015184A
MD
Other
Enumeration date
08/16/2018
Last updated
04/07/2023
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