Individual
MR. JESSE LB THURLOW
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
9110 PHILADELPHIA RD, STE 100, BALTIMORE, MD 21237
(410) 574-4966
(410) 574-4968
Mailing address
9 WOODMAR CT, KINGSVILLE, MD 21087-1348
(410) 592-5092
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14532
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0451473
AETNA
MD
01
—
42191502
BLUE CROSS B SHIELD
MD
Enumeration date
04/18/2006
Last updated
07/08/2007
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