Individual
MR. PETER J KOTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
11601 GEORGIA AVE, WHEATON, MD 20902-1916
(301) 942-1155
(301) 942-2555
Mailing address
5468 WOODED WAY, COLUMBIA, MD 21044-5722
(410) 964-0861
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/06/2006
Last updated
12/17/2014
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