Individual
ADINA LYNELLE VERRETT MYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
9372 CANTER DRIVE, ELK GROVE, CA 95624
(301) 452-4261
Mailing address
PO BOX 311, GLENELG, MD 21737-0311
(301) 452-4261
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17201
CA
Other
Enumeration date
04/22/2010
Last updated
06/30/2020
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