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Individual

MRS. MELISSA J. BLANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
2328 W JOPPA RD, SUITE 300, LUTHERVILLE, MD 21093-4612
(410) 938-8660
(410) 938-8664
Mailing address
12 TAVERNGREEN CT, BALTIMORE, MD 21209-5302
(410) 602-3676
(410) 938-8664

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20047
MD

Other

Enumeration date
12/27/2006
Last updated
07/08/2007
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