Individual
MR. ALI DIAMOND KANJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
416 E 30TH ST, BALTIMORE, MD 21218-3934
(410) 889-0727
Mailing address
416 E 30TH ST, BALTIMORE, MD 21218-3934
(410) 889-0727
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22133
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22133
LICENSE
MD
Enumeration date
04/19/2007
Last updated
06/07/2013
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