Provider Demographics
NPI:1336537844
Name:GERSHOWITZ, ADAM BRIAN (PT, DPT, CSCS)
Entity type:Individual
Prefix:MR
First Name:ADAM
Middle Name:BRIAN
Last Name:GERSHOWITZ
Suffix:
Gender:M
Credentials:PT, DPT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6400 GOLDSBORO RD
Mailing Address - Street 2:STE 340
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-5824
Mailing Address - Country:US
Mailing Address - Phone:410-415-5905
Mailing Address - Fax:410-415-5906
Practice Address - Street 1:1777 REISTERSTOWN RD
Practice Address - Street 2:SUITE 130
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-1306
Practice Address - Country:US
Practice Address - Phone:410-415-5905
Practice Address - Fax:410-415-5906
Is Sole Proprietor?:No
Enumeration Date:2015-01-06
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25115225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist