Individual
MR. TREVON TAMAR MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
165 THOMAS JOHNSON DR, FREDERICK, MD 21702-4742
(301) 694-8311
Mailing address
398 FORD CIR, INWOOD, WV 25428-4406
(304) 820-9413
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
002673
WV
225200000X
Physical Therapy Assistant
Primary
A5391
MD
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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