Individual
PATRICK REGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1648 JACKSON ST, BALTIMORE, MD 21230-4774
(302) 893-4830
Mailing address
1007 W 36TH ST, BALTIMORE, MD 21211-2416
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M06269
MD
Other
Enumeration date
04/23/2024
Last updated
11/05/2024
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