Individual
ALEXANDRA RENEE DULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
320 E TOWSONTOWN BLVD, TOWSON, MD 21286-5318
(703) 963-8622
Mailing address
1001 OLD JOPPA RD, JOPPA, MD 21085-1518
(703) 963-8622
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
63680
MD
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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