Tallman, Laura L

Tallman, Laura L is an individual health care provider with primary practice located at 2634 Brandermill Blvd , Gambrills MD 21054. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Tallman, Laura L can be contacted via phone (410) 721-7201.

Contact Information

Primary practice address
2634 Brandermill Blvd Gambrills MD 21054
Phone: (410) 721-7201
Fax: (410) 721-7580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 20652 Maryland

Profile Details

NPI number 1366468175
LBN Legal business name Tallman, Laura L
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated May 26th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366468175 NPPES
Maryland Other 619265-04 CAREFIRST BLUE CROSS BLUE SHIELD
Maryland MEDICAID 80286700 CAREFIRST BLUE CROSS BLUE SHIELD
Maryland Other 51200008 CAREFIRST BLUE CROSS BLUE SHIELD
Maryland Other F8710005 CAREFIRST BLUE CROSS BLUE SHIELD

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