Individual
IVY TUASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
324 MILL POND LN APT 925, SALISBURY, MD 21804-2302
(304) 541-6226
Mailing address
324 MILL POND LN APT 925, SALISBURY, MD 21804-2302
(304) 541-6226
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25057
MD
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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