Individual
DAT QUACH CAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
130 LUBRANO DR STE L20, ANNAPOLIS, MD 21401-7163
(443) 837-5741
(443) 281-6003
Mailing address
4905 ROCKINGHAM LN, BOWIE, MD 20715-1055
(781) 738-3967
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
24092
MD
2251X0800X
Orthopedic Physical Therapist
Primary
24092
MD
Other
Enumeration date
07/20/2015
Last updated
08/29/2024
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