Individual
BRITTTANY ELAINE DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2480 LLEWELLYN AVE, FORT GEORGE G MEADE, MD 20755-7081
(301) 677-8796
Mailing address
2480 LLEWELLYN AVE, FORT GEORGE G MEADE, MD 20755-7081
(301) 677-8796
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5162
MD
225200000X
Physical Therapy Assistant
TE011565
PA
Other
Enumeration date
10/27/2018
Last updated
07/19/2024
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