Eric Gerard Beglan, PTA

Individual provider Active NPI Physical Therapy Assistant · Randallstown, MD

NPI 1770878720 · NPPES record last updated Jun 17, 2011

Key facts

NPI
1770878720
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
A3389 (MD)
Practice address
9109 Liberty Rd
Randallstown, MD 21133-3521
Phone
(410) 655-7373
NPI assigned
Jun 17, 2011
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
A3389MDMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A3389 MD Yes

Addresses

Primary practice location

9109 Liberty Rd
Randallstown, MD 21133-3521

Mailing address

1100 Cedarbrook Rd
Hampstead, MD 21074-2604
Phone (410) 374-6940

Other providers in Randallstown, MD

All providers in Randallstown, MD · Physical Therapy Assistant in Maryland

Sources for this page

Verify at the official NPI Registry.