Individual
CARLA TREVIZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10700 CHARTER DR STE 205, COLUMBIA, MD 21044-3687
(443) 546-1575
(443) 546-1576
Mailing address
10700 CHARTER DR STE 205, COLUMBIA, MD 21044-3687
(443) 546-1575
(443) 546-1576
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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