Individual
MR. BRIAN AYERS DIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
542 WESTSIDE BLVD, CATONSVILLE, MD 21228-4077
(301) 646-9713
Mailing address
542 WESTSIDE BLVD, CATONSVILLE, MD 21228-4077
(301) 646-9713
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4068
MD
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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