Individual
MR. JOHN J NIETUBICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., M.T.C.
Contact information
Practice address
11350 MCCORMICK RD, EP IV, LL8, HUNT VALLEY, MD 21031-1002
(410) 527-1794
(410) 527-9467
Mailing address
10 PINECONE CT, BALTIMORE, MD 21234-1509
(410) 668-7535
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15837
MD
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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