SearchMaryland367500000X

Thea Koltz

NPI 1215328521 · on the registry since 2015

Practice

Address
202 Meridian Ln
Towson, MD 21286
Phone
(443) 413-1904

Registry record

Primary taxonomy
367500000X
367500000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-10-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland