Doctor Name: | RANEIKA SHIRRELLE BEAN |
NPI Number: | 1063686442 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 22491 |
Business Practice Address: | 9440 Pennsylvania Ave 215 Upper Marlboro, MD - 207723659 |
Business Phone Number: | 3015998899 |
Business Fax Number: | |
Mailing Address: | 9440 Pennsylvania Ave, 215 UPPER MARLBORO |
State: | MD |
Postal Code: | 207723659 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/17/2008 |
NPI Last Update Date: | 04/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 22491 |
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 |