Individual
JENNIFER H PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4337 EBENEZER RD, NOTTINGHAM, MD 21236-2143
(410) 529-3303
(410) 529-7980
Mailing address
1004 TELFORD CT, ABINGDON, MD 21009-1183
(410) 612-2270
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19588
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3012446
AETNA
MD
01
—
61033501
CAREFIRST OF MD
MD
01
—
61033502
CAREFIRST OF MD
MD
01
—
F5170010
GHMSI
MD
Enumeration date
09/29/2006
Last updated
07/08/2007
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