Individual
MISS LOUELLA GALLARDO PRECILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 S ELLWOOD AVE, BALTIMORE, MD 21224-4900
(410) 342-6644
Mailing address
2 MILLBRIDGE CT, NOTTINGHAM, MD 21236-2549
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
22534
MD
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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