Individual
ANNA KHRUZETTE C. SANTA CLARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2700 QUARRY LAKE DR, BALTIMORE, BALTIMORE, MD 21209-3742
(410) 377-8900
(410) 377-3156
Mailing address
2700 QUARRY LAKE DR, BALTIMORE, BALTIMORE, MD 21209-3742
(410) 377-8900
(410) 377-3156
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21935
LICENSE NUMBER
MD
Enumeration date
04/03/2009
Last updated
10/21/2011
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