Individual
THOMAS JANICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
913 SOUTHERLY RD, UNIT 178, TOWSON, MD 21204-2639
(732) 600-5239
Mailing address
913 SOUTHERLY RD, UNIT 178, TOWSON, MD 21204-2639
(732) 600-5239
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
25508
MD
Other
Enumeration date
01/21/2016
Last updated
01/28/2016
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