Doctor Name: | HOLLY KREISLE |
NPI Number: | 1114037850 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 21196 |
Business Practice Address: | 3 Bethesda Metro Ctr Suite B-001 Bethesda, MD - 208145330 |
Business Phone Number: | 3019869252 |
Business Fax Number: | |
Mailing Address: | 5454 Wisconsin Ave, Suite 1555 CHEVY CHASE |
State: | MD |
Postal Code: | 20815 |
Phone Number: | 3019518593 |
Fax Number: | 3019518598 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 12/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 21196 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |