Individual
NANCY JEANNE PORTELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
602 HOLLY RIDGE RD, SEVERNA PARK, MD 21146-3521
(410) 518-6427
Mailing address
602 HOLLY RIDGE RD, SEVERNA PARK, MD 21146-3521
(410) 518-6427
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1077
MD
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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