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Individual

EASTON B GERMAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
6710A ROCKLEDGE DR STE 130, BETHESDA, MD 20817-2843
(301) 515-0900
(240) 912-2381
Mailing address
6710A ROCKLEDGE DR STE 130, BETHESDA, MD 20817-2843
(301) 515-0900
(240) 912-2381

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18637
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1063669927
NPI GROUP
01
18637
MD LICENSE
MD
01
263150124
TAX ID
Enumeration date
09/14/2010
Last updated
03/13/2024
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