Provider Demographics
NPI:1790727618
Name:DOWD, ROBERT D (PT)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:D
Last Name:DOWD
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4195 WESTBERG RD
Mailing Address - Street 2:
Mailing Address - City:HERMANTOWN
Mailing Address - State:MN
Mailing Address - Zip Code:55811-2950
Mailing Address - Country:US
Mailing Address - Phone:443-983-7015
Mailing Address - Fax:
Practice Address - Street 1:5 CRAIN HWY N
Practice Address - Street 2:SUITE 103
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-2803
Practice Address - Country:US
Practice Address - Phone:410-768-9500
Practice Address - Fax:410-768-5200
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD168712251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic