Individual
MCTHEOPHILUS BORILLO BARIZO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 IRVING ST NW, WASHINGTON, DC 20010-2921
(202) 877-1000
Mailing address
304 WOODLAND RD, ROCKVILLE, MD 20850-1666
(301) 466-5364
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT872712
DC
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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