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MR. MICHAEL TANO FELISILDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
9047 SHADY GROVE CT, GAITHERSBURG, MD 20877-1301
(706) 897-5835
Mailing address
9600 GROVETON CIR, APT. T1, OWINGS MILLS, MD 21117-8300
(706) 897-5835

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23559
MD
225100000X
Physical Therapist
PT009014
GA

Other

Enumeration date
05/20/2010
Last updated
03/08/2016
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