Individual
ADAOBI E IGBOANUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 W 40TH ST, BALTIMORE, MD 21211-2140
(410) 235-8860
Mailing address
1108 N MOUNT ST APT 2, BALTIMORE, MD 21217-2216
(312) 978-7878
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
25846
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25846
STATE PT LICENSE
MD
Enumeration date
08/23/2018
Last updated
03/12/2019
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