Doctor Name: | CANDILLA LEE |
NPI Number: | 1063805422 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PTA |
License Number: | A2735 |
Business Practice Address: | 9713 Bon Haven Ln Owings Mills, MD - 211177410 |
Business Phone Number: | 4436958593 |
Business Fax Number: | 4107642202 |
Mailing Address: | 9713 Bon Haven Ln, OWINGS MILLS |
State: | MD |
Postal Code: | 211177410 |
Phone Number: | 4436958593 |
Fax Number: | 4107642202 |
NPI Enumeration Date: | 03/10/2015 |
NPI Last Update Date: | 03/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | A2735 |
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 |