Individual
MRS. BETH WALLACE LUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
THE WELLSPRING CENTER, 658 BOULTON ST., BEL AIR, MD 21014-4214
(410) 836-9622
(410) 836-9632
Mailing address
1216 RUNNYMEDE LN, BEL AIR, MD 21014-2550
(410) 838-8161
(410) 836-9632
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15945
MD
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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