Individual
NICOLE RAE DORSHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
20310 SENECA MEADOWS PKWY STE B, GERMANTOWN, MD 20876-7004
(301) 798-4838
Mailing address
3460 S HIGHPOINTE DR, NEW BERLIN, WI 53151-4704
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
29486
MD
2251X0800X
Orthopedic Physical Therapist
Primary
29486
MD
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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