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Individual

LISA MARIE WILES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
6308 DEMOCRACY BLVD, BETHESDA, MD 20817-1664
(301) 530-2383
(301) 530-5802
Mailing address
6308 DEMOCRACY BLVD, BETHESDA, MD 20817-1664
(301) 530-2383

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24579
MD

Other

Enumeration date
08/09/2013
Last updated
05/14/2015
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