Individual
MICHELLE DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7748 MAYFAIR CIR, ELLICOTT CITY, MD 21043-6970
(301) 922-7031
Mailing address
7748 MAYFAIR CIR, ELLICOTT CITY, MD 21043-6970
(301) 922-7031
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3146
MD
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
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