Basic Information
| Provider Information | |||||||||
| NPI: | 1639633977 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TORCHIANI | ||||||||
| FirstName: | GARRETT | ||||||||
| MiddleName: | MICHAEL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 489 SILVER CT | ||||||||
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| City: | WESTMINSTER | ||||||||
| State: | MD | ||||||||
| PostalCode: | 211589405 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3609903387 | ||||||||
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| Practice Location | |||||||||
| Address1: | 9109 LIBERTY RD | ||||||||
| Address2: | |||||||||
| City: | RANDALLSTOWN | ||||||||
| State: | MD | ||||||||
| PostalCode: | 211333521 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4106557373 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/30/2019 | ||||||||
| LastUpdateDate: | 01/30/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225200000X | A5115 | MD | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant |
No ID Information.