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Individual

MARIA M MINICHIELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 601-5871
Mailing address
4217 ROCKS RD, STREET, MD 21154-1214
(410) 452-5937

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20677
MD

Other

Enumeration date
03/09/2007
Last updated
07/08/2007
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