Individual
JAIME PORCEL TELLEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6410 ROCKLEDGE DR STE 600, BETHESDA, MD 20817-1844
(301) 581-8030
Mailing address
6001 ARLINGTON BLVD APT 316, FALLS CHURCH, VA 22044-2701
(703) 577-1925
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
29693
MD
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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