Individual
DENZIL RICHARD HATHWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1217 W FAYETTE ST, BALTIMORE, MD 21223-1938
(410) 727-3947
Mailing address
8224 DANIELS PURCHASE WAY, MILLERSVILLE, MD 21108-1598
(410) 591-0790
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20426
MD
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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