Individual
DANIELLA LAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
15 WALKER AVE, PIKESVILLE, MD 21208-4023
(410) 358-1997
Mailing address
3608 BANCROFT RD, BALTIMORE, MD 21215-3227
(410) 358-1997
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
25051
MD
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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