NPI 1023314226

Jerome Footman, PTA

Practitioner Physical Therapy Assistant Baltimore, MD

Practice location

Address: 3900 Loch Raven Blvd, Baltimore, MD 21218-2108
Phone: (410) 605-7000

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X

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Registry record

NPI: 1023314226
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Feb 2011
Record last updated: 7 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.