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Individual

MR. LORDEN RODERICK WARRINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
8421 TERRY LEE WAY, SEVERN, MD 21144-3467
(410) 916-1813
Mailing address
8421 TERRY LEE WAY, SEVERN, MD 21144-3467
(410) 916-1813

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20887
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20887
STATE LICENSE
MD
Enumeration date
02/07/2008
Last updated
02/07/2008
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