Individual
JOSEPH MANABAT LAXAMANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3290 N RIDGE RD, SUITE 290, ELLICOTT CITY, MD 21043-3655
(410) 750-1096
(410) 750-0787
Mailing address
6612 BONNIE RIDGE DR, APT 102, BALTIMORE, MD 21209-1936
(443) 527-3341
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21829
MD
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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