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Individual

DIANA KAY MARSEGLIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
3465 BOX HILL CORPORATE CENTER DR, SUITE G, ABINGDON, MD 21009-1261
(410) 569-4806
(410) 569-5474
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22713
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3553745000
IBC AMERIHEALTH
01
5070-0108
GHMSI
01
88760514
CARE FIRST BC MD
Enumeration date
10/21/2008
Last updated
03/11/2014
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