Organization
DOMSER & PLUMMER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA DOMSER PT, CHT (PRESIDENT)
(410) 848-8628
Entity
Organization
Contact information
Practice address
731 BALTIMORE BLVD, WESTMINSTER, MD 21157-6105
(410) 848-8628
(410) 848-3909
Mailing address
731 BALTIMORE BLVD, WESTMINSTER, MD 21157-6105
(410) 848-8628
(410) 848-3909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15216
MD
225100000X
Physical Therapist
16859
MD
225100000X
Physical Therapist
17083
MD
235Z00000X
Speech-Language Pathologist
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
089488580
TRICARE
MD
01
—
211349
MAMSI/UHC PLANS
MD
01
—
2118118
AETNA HMO
MD
01
—
5060511
AETNA PPO/MC
MD
01
—
510BDO
CAREFIRST BLUECROS SPEECH
MD
01
—
H481DO
CAREFIRST BC/BS
MD
01
—
T615
CAREFIRST BLUECHOICE
DC
Enumeration date
01/24/2006
Last updated
02/28/2013
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