Individual
FAFA S MONU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7801 OLD BRANCH AVE STE 105, CLINTON, MD 20735-1641
(301) 856-8386
Mailing address
7801 OLD BRANCH AVE STE 105, CLINTON, MD 20735-1641
(301) 856-8386
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4328
MD
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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