Individual
MRS. MARIESOL FIGUEROA WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1615 HORSEDRAWN CT, SEVERN, MD 21144-6808
(443) 688-6220
Mailing address
1615 HORSEDRAWN CT, SEVERN, MD 21144-6808
(443) 688-6220
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20334
MD
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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