Individual
ELIZABETH AULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4924 CAMPBELL BLVD, STE. 130A, NOTTINGHAM, MD 21236-5908
(443) 442-2810
Mailing address
4924 CAMPBELL BLVD, STE. 130A, NOTTINGHAM, MD 21236-5908
(443) 442-2810
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4222
MD
Other
Enumeration date
06/14/2015
Last updated
06/14/2015
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