Individual
HAANA RUBY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1576 MERRITT BLVD STE 7, BALTIMORE, MD 21222-2114
(410) 650-2145
Mailing address
2019 FLEET ST, BALTIMORE, MD 21231-3297
(331) 643-5043
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
29048
MD
Other
Enumeration date
06/29/2022
Last updated
02/13/2024
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