SearchMaryland225100000X

Jacob Centra, PT, DPT, CSCS

NPI 1477185106 · on the registry since 2020 · sole proprietor

Practice

Address
10840 Little Patuxent Pkwy Ste 105
Columbia, MD 21044
Phone
(410) 730-2028
Organisation at this address
Peter Dexheimer Pa
Johns Hopkins University
Johns Hopkins University
Gebreye W. Rufael, M.D, Pa
Ethos Health Maryland 3 Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-02-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland