Doctor Name: | MS. AMANDA BLEVINS |
NPI Number: | 1043507544 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 23718 |
Business Practice Address: | 12510 Prosperity Dr Ste 120 Silver Spring, MD - 209041615 |
Business Phone Number: | 3016807130 |
Business Fax Number: | 3016807132 |
Mailing Address: | 12510 Prosperity Dr Ste 120, SILVER SPRING |
State: | MD |
Postal Code: | 209041615 |
Phone Number: | 3016807130 |
Fax Number: | 3016807132 |
NPI Enumeration Date: | 07/05/2011 |
NPI Last Update Date: | 05/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 23718 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |