Individual
MR. JOHN W LOAR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
11801 INDUSTRIAL PARK ST, CUMBERLAND, MD 21502-5139
(301) 729-3485
(301) 729-0158
Mailing address
11801 INDUSTRIAL PARK ST, CUMBERLAND, MD 21502-5139
(301) 729-3485
(301) 729-0158
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19139
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012
CAREFIRST BCBS OF DC/NCA
—
01
—
1017320
WORKERS' COMPENSATION
WV
01
—
2114693
MAMSI
—
01
—
62023901
BLUE CROSS BLUE SHIELD
MD
05
—
7302418000
—
WV
01
—
7720660
AETNA
—
01
—
P00094708
RAILROAD MEDICARE
—
Enumeration date
05/20/2006
Last updated
07/08/2007
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