Individual
MRS. DEBRA DAUGHERTY KALM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4700 HARFORD RD, BALTIMORE, MD 21214-3204
(410) 675-3774
Mailing address
3310 MORAVIA RD, BALTIMORE, MD 21214-3340
(410) 599-5803
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1017
MD
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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