Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 17411 | MD |
N | 2251G0304X | Physical Therapist - Geriatrics | 17411 | MD |
NPI | 1205046117 |
---|---|
Provider Name | Mrs. Lakshmi N Sanka |
First Address | Baltimore, MD 21208-2138 |
Second Address | Baltimore, MD 21208-3974 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 11/04/2011 |