Individual
MS. INEKE EVERARDA RAWIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
631 WASHINGTON BLVD, SUITE C, BALTIMORE, MD 21230-2214
(410) 986-0088
(410) 986-0131
Mailing address
8202 RIVERSIDE DR, PASADENA, MD 21122-5723
(410) 360-8811
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14762
MD
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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