Individual
JAI-LANDA PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23511 HOLLYWOOD RD, LEONARDTOWN, MD 20650-5833
(240) 577-6433
Mailing address
1817 ELOISE LN, EDGEWOOD, MD 21040-1828
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5695
MD
225200000X
Physical Therapy Assistant
CP022914A
NC
225200000X
Physical Therapy Assistant
CP024362A
VA
Other
Enumeration date
08/03/2023
Last updated
01/19/2024
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