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1104500610
MAXWELL JI
COLUMBIA, MD
NPI
1104500610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT016579)
Enumeration Date
2023-06-14
Last Update Date
2023-06-14
Business Address
MAXWELL JI PT, DPT, CSCS
5755 CEDAR LN
COLUMBIA, MD 21044-2912
Phone number: 410-740-7890
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Mailing Address
MAXWELL JI PT, DPT, CSCS
1800 S HANOVER ST UNIT 428
BALTIMORE, MD 21230-4988
Phone number: 425-443-1532
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