Individual
MS. NANCY ELLEN TRIVITS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9733 HEALTHWAY DR, BERLIN, MD 21811-1156
(410) 641-1100
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
MD
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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