Individual
MICHAEL CLUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1506 JOH AVE, SUITE 190, BALTIMORE, MD 21227-1000
(410) 242-4206
Mailing address
654 211TH ST, PASADENA, MD 21122-1436
(410) 360-0615
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20052
LICENSE #
MD
Enumeration date
08/23/2006
Last updated
07/08/2007
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