Individual
ADARSHA GAUTAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 W 40TH ST, BALTIMORE, MD 21211-2140
(410) 235-8860
Mailing address
700 W 40TH ST, BALTIMORE, MD 21211-2140
(410) 235-8860
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
29033
MD
225100000X
Physical Therapist
9838
LA
Other
Enumeration date
01/04/2018
Last updated
08/03/2022
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