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Individual

DEBORAH LARNER PORTNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
125 N COURT ST, WESTMINSTER, MD 21157-5192
(410) 751-3033
Mailing address
822 MEWS LN, FREDERICK, MD 21701-4669

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15056
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
15056
MD
Enumeration date
01/08/2019
Last updated
01/08/2019
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