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Individual

JOSEPH RYAN PALMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
4337 EBENEZER RD, NOTTINGHAM, MD 21236-2143
(410) 529-3303
(410) 529-7980
Mailing address
6006 EUNICE AVE, BALTIMORE, MD 21214-1809
(410) 949-6639

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23692
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
KCH3
BLUE CROSS OF MARYLAND
MD
Enumeration date
07/18/2011
Last updated
07/18/2011
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