Individual
MR. JOSEPH DAVID WANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6500 RIGGS RD, HYATTSVILLE, MD 20783-3056
(301) 559-0300
Mailing address
408 CORNICHE CT, WESTMINSTER, MD 21158-4449
(410) 207-4209
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5298
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104
—
MD
Enumeration date
07/06/2020
Last updated
07/06/2020
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