Individual
JUDITH ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
175 WOODS DRIVE, ANNAPOLIS, MD 21403-2140
(410) 212-5511
Mailing address
175 WOODS DR, ANNAPOLIS, MD 21403-1920
(410) 212-5511
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M00385
MD
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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