Individual
DARA FAYE GONZALES ALICANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12230 ROUNDWOOD RD, TIMONIUM, MD 21093-3233
(410) 252-0880
(443) 632-0690
Mailing address
20 TILTON CT, NOTTINGHAM, MD 21236-5183
(443) 844-6789
(443) 632-0690
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22877
MD
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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