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General NPI Number Information
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NPI Number | 1053281972
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Entity Type | Organization
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Legal Business Name | DR BRYAN WESLOWSKI DPT PC
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 9351 LAKESIDE BLVD STE 203
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5064
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Country | US
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Telephone | 410-998-3111
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Fax | 410-998-3113
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Provider Business Mailing Address
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Address Line | 6200 VALENCIA LN UNIT 4005
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City | COLUMBIA
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State | MD
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Zip | 21044-5032
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Country | US
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Telephone | 845-987-4639
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Fax | 410-998-3113
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | DR. BRYAN WESLOWSKI
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Credential | DPT
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Telephone | 845-987-4639
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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