Individual
ELAINA TERESE TARANTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
86 THOMAS JOHNSON CT, FREDERICK, MD 21702-4348
(301) 694-8311
(301) 694-3537
Mailing address
86 THOMAS JOHNSON CT, FREDERICK, MD 21702-4348
(301) 694-8311
(301) 694-3537
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20419
MD
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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