Individual
MS. TRACY MICHELLE NIEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2634 BRANDERMILL BLVD, GAMBRILLS, MD 21054-1651
(410) 721-7201
(410) 721-7580
Mailing address
117 ORVILLE RD, BALTIMORE, MD 21221-1309
(410) 686-2270
(410) 686-5447
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3180
MD
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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