Individual
BLAIR UNDEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
515 FAIRMOUNT AVE # 530, TOWSON, MD 21286-5466
(410) 296-0680
Mailing address
1114 EMERALD DR, BEL AIR, MD 21014-2417
(410) 652-4647
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
26513
MD
Other
Enumeration date
06/19/2017
Last updated
06/19/2017
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