Individual
STEPHEN CONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
15500 ANNAPOLIS RD, BOWIE, MD 20715-3001
(443) 481-1140
Mailing address
201 DEFENSE HWY STE 100, ANNAPOLIS, MD 21401-8902
(667) 204-7000
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PENDING
MD
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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