Individual
DARREN JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
9030 STATE ROUTE 108 STE B, COLUMBIA, MD 21045-1990
(410) 989-3833
Mailing address
9030 STATE ROUTE 108 STE B, COLUMBIA, MD 21045-1990
(410) 989-3833
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05012351A
IN
225100000X
Physical Therapist
Primary
24779
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001107166
ANTHEM PROVIDER NUMBER
IN
05
—
300006030
—
IN
Enumeration date
01/28/2016
Last updated
05/20/2021
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