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Individual

ALISA MEREDITH PRAVDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
100 S CHARLES ST, SUITE 150, BALTIMORE, MD 21201-2725
(410) 752-3010
Mailing address
1300 SAINT PAUL ST, APT 9, BALTIMORE, MD 21202-2715

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24097
MD

Other

Enumeration date
07/19/2012
Last updated
07/19/2012
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