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1245676097
LAURA TIFFANY MEDINA
NOTTINGHAM, MD
NPI
1245676097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 23349)
Enumeration Date
2013-05-21
Last Update Date
2013-05-21
Business Address
-- LAURA TIFFANY MEDINA PT
4337 EBENEZER RD
NOTTINGHAM, MD 21236-2143
Phone number: 410-529-3303
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Mailing Address
-- LAURA TIFFANY MEDINA PT
209 N LUZERNE AVE
BALTIMORE, MD 21224-1115
Phone number: 917-975-1066
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