Individual
ELOI FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6608 EBERLE DR APT 203, BALTIMORE, MD 21215-2190
(207) 252-9534
Mailing address
6608 EBERLE DR APT 203, BALTIMORE, MD 21215-2190
(207) 252-9534
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4045
MD
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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