Individual ProviderEdwin UdohPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address736 Wilton Farm Dr, Catonsville, MD 21228-3650(301) 922-1875PECOS EnrollmentBased on the most recent information from CMS, provider Edwin Udoh does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1821453028Provider TypeIndividualFull NameUdoh, EdwinTitleDr.CredentialP.T,, MPT, DPTGenderMaleSole ProprietorNoEnumeration Date12/15/2015Last Updated12/15/2015Contact InformationPractice LocationPractice Address736 Wilton Farm Dr, Catonsville, MD 21228-3650Phone(301) 922-1875FaxUnlisted FaxMailing LocationMailing Address736 Wilton Farm Dr, Catonsville, MD 21228-3650Phone(301) 922-1875FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense21142Maryland