Individual
MRS. LAUREN ELIZABETH CLITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10301 CHRISTIE RD NE, CUMBERLAND, MD 21502-8326
(301) 724-1400
Mailing address
814 GREENE ST, CUMBERLAND, MD 21502-2744
(301) 707-8026
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2987
MD
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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