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NPI Code Detail

MEDICARE: BRYAN MORROW PT

MEDICARE: BRYAN MORROW PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistJ2001723DE
2225100000XPhysical Therapist23639MD

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00359635OTHERMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4000051070OTHERDEDPCI
52181808000OTHERDEAMERIHEALTH

General Provider Information

NPI Number : 1093760670
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRYAN MORROW PT
Provider Business Mailing Address
First Line : 100 WALTER WARD BLVD STE 200
Second Line :
City : ABINGDON
State : MD
Zip : 21009-1285
Country : US
Telephone Number : 443-512-8337
Fax Number :
Provider Business Practice Location Address
First Line : 100 WALTER WARD BLVD STE 200
Second Line :
City : ABINGDON
State : MD
Zip : 21009-1285
Country : US
Telephone Number : 443-512-8337
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2006
Last Update Date : 05/06/2024

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Directions to “ BRYAN MORROW PT” Practice Location

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