Individual
RENAE CLITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7615 WASHINGTON BLVD, ELKRIDGE, MD 21075-6443
(410) 579-2626
Mailing address
506 CATHEDRAL ST APT 8, BALTIMORE, MD 21201-5096
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3860
MD
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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