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1700196284
NICOLE TANNAHILL
BALTIMORE, MD
NPI
1700196284
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Former Name
NICOLE KETTERER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 18663)
Enumeration Date
2010-10-18
Last Update Date
2024-12-19
Business Address
NICOLE TANNAHILL PT
900 EAST 33RD ST
BALTIMORE, MD 21218
Phone number: 301-540-6140
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Mailing Address
NICOLE TANNAHILL PT
20410 CENTURY BLVD NRH REGIONAL REHAB, SUITE 215
GERMANTOWN, MD 20874
Phone number: 301-540-6140
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