Individual
KATIE BAICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1401 DENNIS AVE, SILVER SPRING, MD 20902-3827
(240) 740-3290
Mailing address
13031 ETHEL ROSE WAY, BOYDS, MD 20841-2002
(301) 370-5632
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
21559
MD
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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