Individual
BEVERLY GOODRICH WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
273 PENINSULA FARM RD, BUILDING 2 SUITE C, ARNOLD, MD 21012-1012
(410) 975-5343
Mailing address
1226 PLATEAU PL, ANNAPOLIS, MD 21409-5133
(410) 757-2265
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16378
MD
Other
Enumeration date
12/21/2013
Last updated
12/21/2013
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