Individual
CHRISTOPHER VIDHYAPHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7501 OSLER DR, TOWSON, MD 21204-7733
(410) 337-1000
Mailing address
94 E PADONIA RD APT 303, TIMONIUM, MD 21093-2387
(443) 449-0604
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5213
MD
Other
Enumeration date
07/05/2020
Last updated
07/05/2020
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