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Individual

GEORGE PASTEUR JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.T.

Contact information

Practice address
174 WILLIS ST, WESTMINSTER, MD 21157-5133
(240) 372-0614
Mailing address
174 WILLIS ST, WESTMINSTER, MD 21157-5133

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18685
MD
225100000X
Physical Therapist
2305204436
VA
225100000X
Physical Therapist
PT22353
FL
225100000X
Physical Therapist
PT870101
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
699702300
MD
01
P00152495
RAILROAD MEDICARE
MD
Enumeration date
08/24/2006
Last updated
10/08/2009
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