Doctor Name: | MR. MICHAEL JOSEPH MAURO |
NPI Number: | 1083707376 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 14991 |
Business Practice Address: | 8415 Bellona Ln Suite 218 Towson, MD - 212042055 |
Business Phone Number: | 4108234600 |
Business Fax Number: | 4108234601 |
Mailing Address: | 8415 Bellona Ln, Suite 218 TOWSON |
State: | MD |
Postal Code: | 212042055 |
Phone Number: | 4108234600 |
Fax Number: | 4108234601 |
NPI Enumeration Date: | 10/01/2006 |
NPI Last Update Date: | 10/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 14991 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |