Individual
GERROD ALAN MAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4367 NORTHVIEW DR, BOWIE, MD 20716-2603
(301) 464-4500
(301) 464-8818
Mailing address
10800 UNITED CT, WALDORF, MD 20603-3908
(202) 498-5692
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20880
MD
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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