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Individual

MRS. MELISSA TUTAS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
3465 BOX HILL CORPORATE CENTER DR, SUITE G, ABINGDON, MD 21009-1261
(410) 569-4806
(410) 569-5474
Mailing address
2700 FARM VIEW DR, FALLSTON, MD 21047-1302
(443) 414-7139
(410) 941-5057

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19053
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0007263155
AETNA
MD
01
2144336
OPTIMUM CHOICE
MD
01
350342400
OWCP
MD
05
401764100
MD
01
4842670001
DME POS ASSIGNED
MD
01
51647
EHP, KAISER, PRIORITY PAR
MD
01
522248150
COVENTRY HEALTHCARE OF DE
MD
01
650018560
RAILROAD MEDICARE
MD
01
76934702
CAREFIRST BCBS RENDERING
MD
01
T121-0001
FED BCBS
MD
Enumeration date
06/03/2006
Last updated
08/20/2018
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