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Individual

DR. BERTRAM LORING STIFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT, MPT

Contact information

Practice address
9801 BROKENLAND PKWY, SUITE 103, COLUMBIA, MD 21046-3080
(410) 290-6533
(410) 290-8646
Mailing address
1713 APPLE BLOSSOM CT, BOWIE, MD 20721-2792
(301) 636-9878

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20362
MD

Other

Enumeration date
12/20/2007
Last updated
10/16/2019
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