Individual
MR. PRESTON FENIMORE GOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
715 MAIDEN CHOICE LN, CATONSVILLE, MD 21228-5999
(410) 601-8869
Mailing address
PO BOX 11473, TAKOMA PARK, MD 20913-1473
(301) 945-7016
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
9980
MA
225200000X
Physical Therapy Assistant
Primary
A4748
MD
Other
Enumeration date
07/20/2017
Last updated
01/26/2022
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