Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 27136 | MD |
NPI | 1003323924 |
---|---|
Provider Name | Brian Leimkuhler |
First Address | Hunt Valley, MD 21031-1202 |
Second Address | Pasadena, MD 21122-2025 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2017 |
Last Update Date | 30/12/2019 |