Individual
MRS. LAURA L TALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20652
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51200008
CAREFIRST
MD
01
—
619265-04
CAREFIRST BLUE CROSS BLUE SHIELD
MD
05
—
80286700
—
MD
01
—
F8710005
CAREFIRST BLUE CROSS BLUE SHIELD
DC
Enumeration date
07/14/2006
Last updated
05/26/2020
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