JAVON MYTIRA WILLIS

LUTHERVILLE, MD
NPI1861076200
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MD  A5478)
Enumeration Date2021-05-11
Last Update Date2021-05-11
Business Address
JAVON MYTIRA WILLIS
2525 POT SPRING RD
LUTHERVILLE, MD 21093-2778
Phone number: 410-561-0200
Mailing Address
JAVON MYTIRA WILLIS
1501 RALWORTH RD
BALTIMORE, MD 21218-2231
Phone number: 410-306-5485