Individual
CITADEL VITAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 MILL POND LN APT 308, SALISBURY, MD 21804-2115
(443) 614-6479
Mailing address
300 MILL POND LN APT 308, SALISBURY, MD 21804-2115
(443) 614-6479
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24208
MD
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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