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Individual

FARAH WADDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
510 IDLEWILD AVE, EASTON, MD 21601
(410) 820-8226
Mailing address
900 ELKRIDGE LANDING RD FL 2, LINTHICUM, MD 21090-2924
(443) 462-5010

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
29090
MD

Other

Enumeration date
08/11/2022
Last updated
09/24/2024
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