Individual
MARIANNA KOGUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
707 N BROADWAY, BALTIMORE, MD 21205-1888
(443) 923-9289
Mailing address
5914 BALTIMORE ST, GWYNN OAK, MD 21207-5001
(410) 707-0373
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
26945
MD
2251P0200X
Pediatric Physical Therapist
Primary
105186
AK
Other
Enumeration date
11/06/2015
Last updated
10/24/2022
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