Doctor Name: | MRS. VIRGINIA MARIE STANDFORD |
NPI Number: | 1104805985 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | 18657 |
Business Practice Address: | 610 Solarex Ct Frederick, MD - 217038624 |
Business Phone Number: | 2402159023 |
Business Fax Number: | 2402159026 |
Mailing Address: | 9007 Grape Creek Rd, WALKERSVILLE |
State: | MD |
Postal Code: | 217938808 |
Phone Number: | 3018457289 |
Fax Number: | 2402159026 |
NPI Enumeration Date: | 01/11/2006 |
NPI Last Update Date: | 09/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 18657 |
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 |