Individual
MR. BRIAN WAYNE LUPUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
5505 HOPKINS BAYVIEW CIR, BALTIMORE, MD 21224-6821
(410) 550-1278
(410) 550-1317
Mailing address
5505 HOPKINS BAYVIEW CIR, BALTIMORE, MD 21224-6821
(410) 550-1278
(410) 550-1317
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18906
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18906
MD PT LICENSE
MD
Enumeration date
02/09/2017
Last updated
02/09/2017
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