Individual
JAKE HAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8600 SNOWDEN RIVER PKWY STE 101, COLUMBIA, MD 21045-1983
(410) 720-5555
Mailing address
2623 MIDWAY BRANCH DR APT 202, ODENTON, MD 21113-4131
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5484
MD
Other
Enumeration date
06/03/2022
Last updated
03/18/2024
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