JACOB LAWRENCE CENTRA

COLUMBIA, MD
NPI1477185106
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MD  27852)
Enumeration Date2020-02-11
Last Update Date2020-02-11
Business Address
Dr. JACOB LAWRENCE CENTRA PT, DPT, CSCS
10840 LITTLE PATUXENT PKWY STE 105
COLUMBIA, MD 21044-3254
Phone number: 410-730-2028
Mailing Address
Dr. JACOB LAWRENCE CENTRA PT, DPT, CSCS
468 GLEN MAR RD APT B4
GLEN BURNIE, MD 21061-7074
Phone number:
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