Individual
JEROME FOOTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3900 LOCH RAVEN BLVD, BALTIMORE, MD 21218-2108
(410) 605-7000
Mailing address
3900 LOCH RAVEN BLVD, BALTIMORE, MD 21218-2108
(410) 605-7000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
02/04/2011
Last updated
02/07/2011
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