Individual
ADWOA K BONSRA BOADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7672 BELAIR RD, BALTIMORE, MD 21236-4088
(410) 663-6450
(410) 663-6451
Mailing address
1212 YORK RD, SUITE C-101, LUTHERVILLE, MD 21093-6240
(410) 321-0377
(410) 821-7517
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
21987
MD
2251S0007X
Sports Physical Therapist
21987
MD
2251X0800X
Orthopedic Physical Therapist
Primary
21987
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074738600
—
MD
Enumeration date
04/03/2007
Last updated
01/08/2024
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