Individual
MR. MARK GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8720 EMGE RD, BALTIMORE, MD 21234-3504
(410) 668-1961
Mailing address
8720 EMGE RD, BALTIMORE, MD 21234-3504
(410) 668-1961
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A 3701
MD
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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