Individual
ELIZABETH TARANTULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5601 LOCH RAVEN BLVD, O'NEILL BLDG, 2ND FLOOR, OUTPATIENT REHAB, BALTIMORE, MD 21239-2945
(443) 444-4600
(443) 444-4607
Mailing address
5445 LOCH RAVEN BLVD STE 403B, BALTIMORE, MD 21239-2943
(443) 444-5757
(443) 444-5750
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22304
MD
Other
Enumeration date
05/14/2014
Last updated
02/02/2024
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