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Individual

ALEX EBERSPACHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
828 AIRPAX RD, CAMBRIDGE, MD 21613-6401
(410) 228-0742
(410) 228-2816
Mailing address
406 MARVEL CT, EASTON, MD 21601-4087
(410) 822-4613
(410) 822-6534

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26086
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
435138000
MD
Enumeration date
08/09/2016
Last updated
08/09/2016
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