Most Relevant Information
Provider Data
| NPI Number: | 1003374760 |
| Provider Name: | EVANGELINE LAJOM GRECIA PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 24294 |
Most Important Dates
| Enumeration Date: | 03/12/2019 |
| Last Updated: | 03/12/2019 |
Provider Practice Location
200 E NORTH AVE
BALTIMORE
MD
212024888
Practice Location Phone/Fax
| Phone: | 4436424208 |
| Fax: |
Provider Mailing Location
25 EDMONDSON RIDGE RD
CATONSVILLE
MD
212281901
Provider Mailing Phone/Fax
| Phone: | 4437947263 |
| Fax: |