Gerald Wixted III, DPT

NPI #1922414507 in Rosedale, Maryland

Provider Information

NPI Number: 1922414507
Entity Type: Individual
Name: Gerald Wixted III, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jul 3, 2014
Last Updated: Oct 20, 2016

Practice Location

Address: 9110 PHILADELPHIA RD
Address 2: SUITE 104
City: Rosedale
State: Maryland
ZIP Code: 21237-4301
Phone: (410) 686-8922

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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