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NPI Code Detail

MEDICARE: CHINNE EZEIGWE DPT

MEDICARE: CHINNE EZEIGWE DPT
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 TherapistCP052746TMD

General Provider Information

NPI Number : 1538997762
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHINNE EZEIGWE DPT
Provider Business Mailing Address
First Line : 1836 GREENE TREE RD
Second Line :
City : PIKESVILLE
State : MD
Zip : 21208-1381
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1836 GREENE TREE RD
Second Line :
City : PIKESVILLE
State : MD
Zip : 21208-1381
Country : US
Telephone Number : 410-486-9992
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2024
Last Update Date : 02/04/2026

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Directions to “ CHINNE EZEIGWE DPT” Practice Location

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