Individual
FOTINI FOUKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 THOMAS RUN RD, BEL AIR, MD 21015-1616
(410) 638-3823
Mailing address
38 HUXLEY CIR, ABINGDON, MD 21009-1734
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
24470
MD
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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