Doctor Name: | MR. RANDALL HOCHBERG |
NPI Number: | 1023157716 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 18288 |
Business Practice Address: | 7401 Osler Dr Suite 110 Towson, MD - 212047673 |
Business Phone Number: | 4102968888 |
Business Fax Number: | |
Mailing Address: | 1143 Hughes Shop Rd, WESTMINSTER |
State: | MD |
Postal Code: | 211582906 |
Phone Number: | 4108574940 |
Fax Number: | |
NPI Enumeration Date: | 02/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | 18288 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |