Individual
EDREELIE DELA ROSA CORPUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5955 WESTERN RUN DR APT B, BALTIMORE, MD 21209-4051
(443) 991-3939
Mailing address
5955 WESTERN RUN DR APT B, BALTIMORE, MD 21209-4051
(443) 991-3939
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
30461
MD
Other
Enumeration date
12/06/2025
Last updated
12/06/2025
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