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Individual

BORISLAV CICMIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
7811 MONTROSE RD STE 340, POTOMAC, MD 20854-3363
(301) 588-7888
(301) 588-3419
Mailing address
7811 MONTROSE RD STE 340, POTOMAC, MD 20854-3363
(301) 588-7888
(301) 588-3419

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24706
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
24706
MD BOARD OF PT EXAMINERS
MD
Enumeration date
09/19/2013
Last updated
08/02/2022
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