Individual
KIANA IRANMANESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0414
(410) 550-1390
Mailing address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25634
MD
Other
Enumeration date
11/25/2015
Last updated
05/07/2025
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