Organization
EGONUS BALTIMORE PRO THERAPY AND REHABILITATION PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INNOCENT EGONU (OWNER)
(443) 473-9747
Entity
Organization
Contact information
Practice address
416 EASTERN BLVD, BALTIMORE, MD 21221-6714
(410) 238-2636
(410) 238-2601
Mailing address
416 EASTERN BLVD, BALTIMORE, MD 21221-6714
(410) 238-2636
(410) 238-2601
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/13/2015
Last updated
12/05/2022
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