Most Relevant Information
Provider Data
| NPI Number: | 1003372202 |
| Provider Name: | ERIC WUNDERLE |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 24679 |
Most Important Dates
| Enumeration Date: | 02/13/2019 |
| Last Updated: | 02/13/2019 |
Provider Practice Location
410 E MACPHAIL RD
BEL AIR
MD
210144410
Practice Location Phone/Fax
| Phone: | 4108791120 |
| Fax: |
Provider Mailing Location
410 E MACPHAIL RD
BEL AIR
MD
210144410
Provider Mailing Phone/Fax
| Phone: | 4108791120 |
| Fax: |