Individual
NORMAN LEE FORTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
415 MARKET ST, HAVRE DE GRACE, MD 21078-3301
(410) 939-5500
Mailing address
632 KENTLAND AVE, DOVER, DE 19901-5278
(302) 674-3114
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3047
MD
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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