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Individual

MRS. BRANDY JENNIFER HARLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
11325 PEMBROOKE SQ, SUITE #115, WALDORF, MD 20603-4807
(301) 719-1167
Mailing address
3441 HOLLAND CLIFFS RD, HUNTINGTOWN, MD 20639-9721
(301) 399-4471

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2949
MD

Other

Enumeration date
11/14/2013
Last updated
11/14/2013
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