Tracie Lynn Pridgeon, PT

NPI #1043551013 in Forest Hill, Maryland

Provider Information

NPI Number: 1043551013
Entity Type: Individual
Name: Tracie Lynn Pridgeon, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Mar 15, 2013
Last Updated: Mar 15, 2013

Practice Location

Address: 12 NEWPORT DR
Address 2: SUITE C
City: Forest Hill
State: Maryland
ZIP Code: 21050-1758
Phone: (410) 838-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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