Individual
MISS VANESSA PROTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
7401 OSLER DR, SUITE 110, TOWSON, MD 21204-7673
(410) 296-8888
Mailing address
3503 BARCLAY ST, BALTIMORE, MD 21218-2813
(410) 889-5539
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
19419
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
609999-01
BC BS
MD
Enumeration date
02/13/2007
Last updated
07/08/2007
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