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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ERIC JOSEPH SUPNET SEVIDAL

Active

ERIC JOSEPH SUPNET SEVIDAL is a Physical Therapy Assistant healthcare provider located in ELLICOTT, Maryland. NPI 1427232461 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · ELLICOTT, MD

Registration Details

NPI Number
1427232461
Provider Type
Individual
Gender
Male
NPI Issued
Dec 27, 2007 (18.636385378154 yrs)
Last Updated
Dec 27, 2007

Practice Information

Address
3290 EXECUTIVE CENTER II
CAMBRIDGE HEALTHCARE NORTH RIDGE
ELLICOTT, MD, 21043
Browse MD providers · Browse ZIP 21043
Phone
4107509006
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in ELLICOTT, MD

Name Credential NPI
LOURIZZA MAE CATAGUE SAMPALOCIA 1114102795
MR. ERNESTO LOPEZ GRECIA JR. PT 1255597472
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.