Individual
BDHO GIDEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 IRVING ST NW, WASHINGTON, DC 20010-2921
(410) 823-4263
Mailing address
1351 OTIS PL NW, WASHINGTON, DC 20010-3436
(202) 476-0306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305215008
VA
225100000X
Physical Therapist
PT210002133
DC
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
08/22/2024
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