Individual
MRS. MARIE ELIZABETH RAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MS
Contact information
Practice address
1401 DENNIS AVE, SILVER SPRING, MD 20902-3827
(301) 649-8075
(301) 649-8266
Mailing address
8752 BIRKENHEAD CT, LAUREL, MD 20723-5989
(301) 317-8010
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
19850
MD
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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