Tory Custis Widdowson IV

NPI 1003083874 - Physical Therapist - 225100000X

NPI Details
NPI 1003083874
Gender Female
Enumeration Date 05/12/2008
Last Updated 05/12/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
201 HALL HIGHWAY
MCCREADY FOUNDATION INC
CRISFIELD MD, 21817-1237, US
Phone (410) 968-1200
Fax (410) 968-3178
Business Location
201 HALL HIGHWAY
MCCREADY FOUNDATION INC
CRISFIELD MD, 21817-1237, US
Phone (410) 968-1200
Fax (410) 968-3178
Toxanomy
Taxonomy Code 225100000X
License State Maryland
License Number 15792
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According to our database, Mrs. Tory Custis Widdowson IV NPI is 1003083874, taxonomy code is 225100000X and license number is 15792, license state is located at Maryland. Tory Custis Widdowson IV physically located at 201 Hall Highway, Crisfield MD, 21817-1237. NPI Number Tory Custis Widdowson IV has the Individual type.

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1003083874 NPI number is provided on an as is basis without warranty of any kind. 1003083874 is maintained by the National Plan & Provider Enumeration System. The contents of Tory Custis Widdowson IV are for informational purposes only.