Individual
MR. MICHAEL GARY MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RKT
Contact information
Practice address
50 IRVING ST NW, WASHINGTON, DC 20422-0001
(202) 745-8618
Mailing address
802 JAMES RIDGE RD, BOWIE, MD 20721-7283
(301) 218-8019
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
1532
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1532
NATIONAL REGISTRATION
IL
Enumeration date
08/31/2006
Last updated
07/08/2007
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