Individual
MARIA CHRISTINA BALABAG FUCANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3290 NORTH RIDGE ROAD, #290 EXECUTIVE CENTER II, ELLICOTT CITY, MD 21043
(410) 988-5819
Mailing address
3290 NORTH RIDGE ROAD, #290 EXECUTIVE CENTER II, ELLICOTT CITY, MD 21043
(410) 988-5819
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24328
FL
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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