Individual
JASON NUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
11200 SCAGGSVILLE RD, UNIT 114, LAUREL, MD 20723-2022
(301) 317-8373
(301) 317-8375
Mailing address
1838 GREENE TREE RD, SUITE 290, BALTIMORE, MD 21208-6391
(410) 653-9813
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21596
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F8710009
CAREFIRST BLUECROSS BLUE SHIELD
DC
Enumeration date
08/29/2006
Last updated
05/29/2008
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