Individual
MS. MARITA ECALDRE TALAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3290 N RIDGE RD STE 290, ELLICOTT CITY, MD 21043-3657
(410) 750-9006
Mailing address
2922 LUNAR CIR, LAKELAND, FL 33801-6926
(620) 655-9879
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501009944
MI
225100000X
Physical Therapist
Primary
PT 25837
FL
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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