Individual
MS. NIESHA JANELLE HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
190 ADMIRAL COCHRANE DR STE 180, ANNAPOLIS, MD 21401-8406
(410) 571-6411
Mailing address
500 POPLAR GROVE ST, BALTIMORE, MD 21223-1036
(410) 233-1482
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2948
MD
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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