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NPI Code Detail

MEDICARE: NANCY GUNZELMAN PT

MEDICARE:   NANCY  GUNZELMAN  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
12251X0800XOrthopedic Physical Therapist14512MD
22251S0007XSports Physical Therapist14512MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16545-0001OTHERMDBLUE CHOICE
2360419OTHERMDMAMSI
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861488652
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY GUNZELMAN PT
Provider Business Mailing Address
First Line : 6011 UNIVERSITY BLVD
Second Line : SUITE 120
City : ELLICOTT CITY
State : MD
Zip : 21043-6074
Country : US
Telephone Number : 410-203-0391
Fax Number : 410-203-2707
Provider Business Practice Location Address
First Line : 6011 UNIVERSITY BLVD
Second Line : SUITE 120
City : ELLICOTT CITY
State : MD
Zip : 21043-6074
Country : US
Telephone Number : 410-203-0391
Fax Number : 410-203-2707
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2005
Last Update Date : 07/31/2014

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Directions to “ NANCY GUNZELMAN PT” Practice Location

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