Individual
MRS. KASHA ALISON VANDIVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
100 E CARROLL ST, DEPARTMENT OF PHYSICAL MEDICINE, SALISBURY, MD 21801-5422
(410) 546-6400
Mailing address
100 E. CARROLL ST, DEPARTMENT OF PHYSICAL MEDICINE, SALISBURY, MD 21801
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3339
MD
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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