Mingkhwan Carmack

NPI #1992256259 in Waldorf, Maryland

Provider Information

NPI Number: 1992256259
Entity Type: Individual
Name: Mingkhwan Carmack
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Oct 20, 2016
Last Updated: Oct 20, 2016

Practice Location

Address: 4140 OLD WASHINGTON RD
City: Waldorf
State: Maryland
ZIP Code: 20602-3221
Phone: (301) 645-2813

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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