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Individual

MRS. TERESA ICHNIOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
2730 UNIVERSITY BLVD W, SUITE 714, WHEATON, MD 20902-1905
(301) 942-2520
(301) 942-6998
Mailing address
10408 HUNTLEY AVE, SILVER SPRING, MD 20902-3822
(301) 649-1558

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
14713
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
612022-01
BC BS
MD
Enumeration date
02/06/2007
Last updated
09/23/2009
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