Individual
DR. KATHLEEN SUSANNE MANALASTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1838 GREEN TREE ROAD, SUITE 290, BALTIMORE, MD 21208
(410) 653-9813
(410) 653-9815
Mailing address
1838 GREEN TREE ROAD, SUITE 290, BALTIMORE, MD 21208
(410) 653-9813
(410) 653-9815
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
031542
NY
225100000X
Physical Therapist
Primary
23263
MD
Other
Enumeration date
09/16/2009
Last updated
04/25/2011
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