Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251P0200X | Physical Therapist - Pediatrics | 25131 | MD |
Y | 2251X0800X | Physical Therapist - Orthopedic | 25131 | MD |
NPI | 1093116899 |
---|---|
Provider Name | Megan Bosmans |
First Address | Annapolis, MD 21401-3746 |
Second Address | Annapolis, MD 21401-3746 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2014 |
Last Update Date | 22/05/2020 |