MRS. Tory Custis Widdowson IV

NPI #1003083874 in Crisfield, Maryland

Provider Information

NPI Number
1003083874
Entity Type
Individual
Name
MRS. Tory Custis Widdowson IV
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Enumeration Date
May 12, 2008
Last Updated
May 12, 2008

Practice Location

Address
201 HALL HIGHWAY
Address 2
MCCREADY FOUNDATION INC
ZIP Code
21817-1237
Phone
(410) 968-1200

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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