Individual
PHETHIA JEAN-LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1339 TAYLOR AVE APT 2, PARKVILLE, MD 21234-5981
(717) 736-1660
Mailing address
1339 TAYLOR AVE APT 2, PARKVILLE, MD 21234-5981
(717) 736-1660
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5632
MD
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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