Individual
NANCY GUNZELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6011 UNIVERSITY BLVD, SUITE 120, ELLICOTT CITY, MD 21043-6074
(410) 203-0391
(410) 203-2707
Mailing address
6011 UNIVERSITY BLVD, SUITE 120, ELLICOTT CITY, MD 21043-6074
(410) 203-0391
(410) 203-2707
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
14512
MD
2251X0800X
Orthopedic Physical Therapist
Primary
14512
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075357200
—
MD
01
—
360419
MAMSI
MD
01
—
6545-0001
BLUE CHOICE
MD
Enumeration date
09/27/2005
Last updated
07/31/2014
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