Individual
DR. JEREMY S ALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., DSCPT
Contact information
Practice address
2700 QUARRY LAKE DR STE 300, BALTIMORE, MD 21209-3746
(410) 377-8900
(410) 377-0576
Mailing address
2700 QUARRY LAKE DR STE 300, BALTIMORE, MD 21209-3746
(410) 377-8900
(410) 377-0576
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21437
MD
2251S0007X
Sports Physical Therapist
21437
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160584
ACN
—
01
—
7914198
AETNA
—
01
—
T208
BLUECHOICE/GHMSI
—
Enumeration date
03/12/2007
Last updated
06/06/2020
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