Individual
GARRETT AUSTIN GISCHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1576 MERRITT BLVD, DUNDALK, MD 21222-2132
(410) 650-2000
Mailing address
8237 POPLAR MILL RD, NOTTINGHAM, MD 21236-5581
(443) 895-0394
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5450
MD
225200000X
Physical Therapy Assistant
P161443177
WA
Other
Enumeration date
04/14/2021
Last updated
01/22/2024
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