Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 24343 | MD |
N | 225100000X | Physical Therapist | 42258 | CA |
NPI | 1003208802 |
---|---|
Provider Name | Ann Marie Claire Tschanz |
First Address | Great Mills, MD 20634-3065 |
Second Address | Leonardtown, MD 20650-4723 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2015 |
Last Update Date | 18/02/2019 |