Individual
LUCINDA WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10 MARTIN CT # B, EASTON, MD 21601-4095
(410) 822-3080
Mailing address
300 BYRN ST, CAMBRIDGE, MD 21613-1908
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16040
MD
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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