Individual
JEREMY S BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, ATC
Contact information
Practice address
8174 LARK BROWN RD, SUITE 101, ELKRIDGE, MD 21075-6426
(410) 799-9988
(410) 799-9986
Mailing address
8174 LARK BROWN RD, SUITE 101, ELKRIDGE, MD 21075-6426
(410) 799-9988
(410) 799-9986
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23368
MD
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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