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Individual

MRS. JUDITH MORESCO DAVIDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
188 GREEN ST, ANNAPOLIS, MD 21401-2502
(410) 222-2900
Mailing address
14 BANCROFT AVE, ANNAPOLIS, MD 21403-4436
(410) 267-0765

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14314
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0722
MD
Enumeration date
06/27/2007
Last updated
07/09/2007
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