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1487893038
IMANI MACK
ELLICOTT CITY, MD
NPI
1487893038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 22794)
Enumeration Date
2009-02-05
Last Update Date
2009-02-05
Business Address
-- IMANI MACK PT
9501 OLD ANNAPOLIS RD
ELLICOTT CITY, MD 21042-6314
Phone number: 301-540-6140
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Mailing Address
-- IMANI MACK PT
20410 CENTURY BLVD NRH REGIONAL REHAB - SUITE 215
GERMANTOWN, MD 20874-1186
Phone number: 301-540-6140
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