Individual
MRS. AGNES THERESE ENOPIA DIVINAGRACIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3227 BEL PRE RD, SILVER SPRING, MD 20906-2423
(417) 437-4395
Mailing address
3227 BEL PRE RD, SILVER SPRING, MD 20906-2423
(417) 437-4395
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22164
MD
Other
Enumeration date
06/25/2007
Last updated
04/19/2012
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