Individual
MRS. ANDREA MARIE EISGRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
10989 RED RUN BLVD, SUITE 200, OWINGS MILLS, MD 21117-3283
(410) 654-7525
(410) 654-7535
Mailing address
10989 RED RUN BLVD, SUITE 200, OWINGS MILLS, MD 21117-3283
(410) 654-7525
(410) 654-7535
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
22720
MD
2251X0800X
Orthopedic Physical Therapist
Primary
22720
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
228204
EHP
—
01
—
6545-0020
GHMSI
MD
01
—
963129-01
CAREFIRST BCBS
MD
Enumeration date
12/07/2009
Last updated
04/13/2014
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