Individual
MRS. LAURA ANN LIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
645 BALTIMORE ANNAPOLIS BLVD, SUITE 111, SEVERNA PARK, MD 21146-3931
(410) 544-2500
(410) 384-9703
Mailing address
645 BALTIMORE ANNAPOLIS BLVD, SUITE 111, SEVERNA PARK, MD 21146-3931
(410) 544-2500
(410) 384-9703
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23437
MD
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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