Individual
JENNA MACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2225 OLD EMMORTON RD STE 210, BEL AIR, MD 21015-6123
(410) 515-4900
Mailing address
2211 EASTLAKE RD, LUTHERVILLE TIMONIUM, MD 21093-2707
(410) 227-0792
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
19969
MD
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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