Individual
MR. DARRYL PAUL ICENHOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT TECH
Contact information
Practice address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-0001
(301) 400-1686
Mailing address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-0001
(301) 400-1686
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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