Doctor Name: | TAKARA HAYWARD |
NPI Number: | 1063646735 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 22410 |
Business Practice Address: | 10700 Charter Dr Suite 100 Columbia, MD - 210443629 |
Business Phone Number: | 4109102351 |
Business Fax Number: | 4107302379 |
Mailing Address: | 10700 Charter Dr, Suite 100 COLUMBIA |
State: | MD |
Postal Code: | 210443629 |
Phone Number: | 4109102351 |
Fax Number: | 4107302379 |
NPI Enumeration Date: | 05/11/2009 |
NPI Last Update Date: | 05/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 22410 |
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 |