Individual
JEREMY M LARRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
18101 PRINCE PHILIP DR, OLNEY, MD 20832-1514
(301) 774-8882
Mailing address
10139 FAUBERG ST, IJAMSVILLE, MD 21754-8005
(443) 800-3717
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6126
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A6126
FSBPT
MD
Enumeration date
07/09/2024
Last updated
08/13/2025
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