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Individual

MAXWELL JI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT, CSCS

Contact information

Practice address
5755 CEDAR LN, COLUMBIA, MD 21044-2912
(410) 740-7890
Mailing address
1800 S HANOVER ST UNIT 428, BALTIMORE, MD 21230-4988
(425) 443-1532

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016579
GA

Other

Enumeration date
06/14/2023
Last updated
06/14/2023
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