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Individual

DR. JOHN DOUGLASS WALLOP II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
2564 RIVA RD, ANNAPOLIS, MD 21401-7405
(410) 279-1042
Mailing address
2564 RIVA RD, ANNAPOLIS, MD 21401-7405
(410) 279-1042

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
28758
MD

Other

Enumeration date
11/10/2021
Last updated
11/10/2021
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