Individual
MARICAR ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2205 YORK RD, SUITE 16, TIMONIUM, MD 21093-3163
(308) 218-8105
Mailing address
2205 YORK RD, SUITE 16, TIMONIUM, MD 21093-3163
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3193
NE
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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