Individual
EVANS TALUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
14409 GREENVIEW DR, STE 102, LAUREL, MD 20708-3293
(301) 498-8100
(301) 498-0009
Mailing address
14409 GREENVIEW DR, STE 102, LAUREL, MD 20708-3293
(301) 498-8100
(301) 498-0009
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1411
MD
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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