Provider Demographics
NPI:1740621770
Name:BALDOVINO, FRANKLIN CUNA (RPT)
Entity type:Individual
Prefix:MR
First Name:FRANKLIN
Middle Name:CUNA
Last Name:BALDOVINO
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12041 BOURNEFIELD WAY STE B
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-7908
Mailing Address - Country:US
Mailing Address - Phone:301-592-4400
Mailing Address - Fax:301-869-9809
Practice Address - Street 1:12041 BOURNEFIELD WAY STE B
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-7908
Practice Address - Country:US
Practice Address - Phone:301-592-4400
Practice Address - Fax:301-869-9809
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-05
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD24396225100000X
NY031034225100000X
MD24395225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist