MR. John Douglass Wallop

NPI #1275526253 in Annapolis, Maryland

Provider Information

NPI Number: 1275526253
Entity Type: Individual
Name: MR. John Douglass Wallop
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Aug 25, 2005
Last Updated: May 9, 2012

Practice Location

Address: 2661 RIVA RD
Address 2: BLDG 600, SUITE 601
City: Annapolis
State: Maryland
ZIP Code: 21401-7353
Phone: (410) 266-6626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary
Physical Therapist - Pediatrics — Pediatrics	2251P0200X
Physical Therapist - Sports — Sports	2251S0007X
Physical Therapist - Orthopedic — Orthopedic	2251X0800X

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Organizations

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