Individual
MS. TONI SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
5550 TUCKERMAN LN, ROCKVILLE, MD 20852-4683
(301) 897-8566
Mailing address
166 WEXFORD DR E, SUFFOLK, VA 23434-8006
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A455
MD
Other
Enumeration date
11/10/2017
Last updated
11/10/2017
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