Individual
JONATHAN FURRS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
8600 LA SALLE RD, SUITE 322, TOWSON, MD 21286-2001
(410) 828-6778
(410) 821-6778
Mailing address
2938 LEVEE DR, ODENTON, MD 21113-2936
(443) 370-8810
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25964
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
338212
MEDICARE
MD
01
—
461203860
COMMERCIAL
MD
01
—
AY01
BLUE CROSS BLUE SHIELD
MD
Enumeration date
06/03/2016
Last updated
06/03/2016
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