Beverly Lyle Wise

NPI #1043978752 in Hunt Valley, Maryland

Provider Information

NPI Number: 1043978752
Entity Type: Individual
Name: Beverly Lyle Wise
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Nov 30, 2021
Last Updated: Nov 30, 2021

Practice Location

Address: 307 INTERNATIONAL CIR STE 100
City: Hunt Valley
State: Maryland
ZIP Code: 21030-1387
Phone: (410) 667-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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