Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 25976 | MD |
NPI | 1073962726 |
---|---|
Provider Name | Dr. Anthony Sowers |
First Address | Columbia, MD 21045-3352 |
Second Address | Lanham, MD 20706-1843 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2016 |
Last Update Date | 03/06/2016 |