Yevgeny Shirokobrod DPT

NPI 1063708519 - Physical Therapist - 225100000X

NPI Details
NPI 1063708519
Gender Male
Enumeration Date 06/23/2011
Last Updated 10/27/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
722 E WATERSVILLE RD
MOUNT AIRY MD, 21771-3519, US
Phone (240) 394-6364
Fax
Business Location
PO BOX 910
MOUNT AIRY MD, 21771-0910, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State Maryland
License Number 23687
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According to our database, Dr. Yevgeny Shirokobrod DPT NPI is 1063708519, taxonomy code is 225100000X and license number is 23687, license state is located at Maryland. Yevgeny Shirokobrod DPT physically located at 722 E Watersville Rd, Mount Airy MD, 21771-3519. NPI Number Yevgeny Shirokobrod DPT has the Individual type.

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1063708519 NPI number is provided on an as is basis without warranty of any kind. 1063708519 is maintained by the National Plan & Provider Enumeration System. The contents of Yevgeny Shirokobrod DPT are for informational purposes only.