Individual
MS. LYDIA M BADRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
15245 SHADY GROVE RD, SUITE C-100, NORTH LOBBY, ROCKVILLE, MD 20850-3222
(301) 417-2652
(301) 417-2653
Mailing address
15245 SHADY GROVE RD, SUITE C-100, NORTH LOBBY, ROCKVILLE, MD 20850-3222
(301) 417-2652
(301) 417-2653
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
19658
MD
225100000X
Physical Therapist
Primary
870157
DC
Other
Enumeration date
05/01/2006
Last updated
08/19/2013
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