Annika Mog, PTA

NPI #1376315895 in Damascus, Maryland

Provider Information

NPI Number: 1376315895
Entity Type: Individual
Name: Annika Mog, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 27, 2023
Last Updated: Oct 27, 2023

Practice Location

Address: 9815 MAIN ST STE 206
City: Damascus
State: Maryland
ZIP Code: 20872-2099
Phone: (301) 253-6761

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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