Individual
LAUREN S AYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5601 LOCH RAVEN BLVD BLDG 2ND, BALTIMORE, MD 21239-2991
(877) 772-6505
Mailing address
1440 DECATUR ST, BALTIMORE, MD 21230-5213
(717) 870-5288
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4610
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A4610
MD BOARD OF PHYSICAL THERAPY
MD
Enumeration date
10/22/2021
Last updated
10/22/2021
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