Individual
TRACEY DEETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3330 WILKENS AVE, BALTIMORE, MD 21229-4610
(410) 525-1544
Mailing address
3330 WILKENS AVE, BALTIMORE, MD 21229-4610
(410) 525-1544
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3333
MD
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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