Individual
MR. IAN LAWRENCE SIKORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., D.P.T.
Contact information
Practice address
660 KENILWORTH DR, SUITE 102, TOWSON, MD 21204-2313
(410) 296-9311
Mailing address
137 BRANDON RD, BALTIMORE, MD 21212-1128
(301) 699-1936
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24636
MD
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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