Howard Kenneth Wagenheim, LPT LICENSED PHYSICA Valid NPI

Individual provider · Physical Therapist · Balt, MD

NPI

1285847954

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

13512 (MD)

Sex

Male

Sole proprietor

No

Enumerated

2007-05-08

Last updated

2007-07-08