Doctor Name: | MRS. JILL ANN KATULKA |
NPI Number: | 1154383420 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 16569 |
Business Practice Address: | 9649 Belair Road Suite 301 Nottingham, MD - 21236 |
Business Phone Number: | 4105290989 |
Business Fax Number: | 4105290993 |
Mailing Address: | 2425 Edwards Manor Dr, FOREST HILL |
State: | MD |
Postal Code: | 21050 |
Phone Number: | 4108383390 |
Fax Number: | |
NPI Enumeration Date: | 04/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 16569 |
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 |