Individual
MRS. JENNIFER LEIGH DEGRANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2000 MEDICAL PKWY, ANNAPOLIS, MD 21401-3742
(443) 481-1140
Mailing address
2000 MEDICAL PKWY, ANNAPOLIS, MD 21401-3742
(443) 481-1140
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2375
MD
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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