Individual
MRS. MICHELLE CHRISTINE BIONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
520 LARSON COURT, WESTMINSTER, MD 21157
(410) 917-1871
Mailing address
520 LARSON COURT, WESTMINSTER, MD 21157
(410) 917-1871
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4062
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A4062
—
MD
Enumeration date
03/18/2019
Last updated
05/04/2022
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