Individual
CAROL LAUREN FIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7920 SCOTTS LEVEL RD, PIKESVILLE, MD 21208-2629
(410) 521-3600
Mailing address
7920 SCOTTS LEVEL RD, PIKESVILLE, MD 21208-2629
(410) 521-3600
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-1176
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033524186
—
MD
Enumeration date
02/15/2023
Last updated
02/15/2023
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