Doctor Name: | VAN BUREN WATTS |
NPI Number: | 1154447605 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 20689 |
Business Practice Address: | 7501 Greenway Center Dr Ste 800 Greenbelt, MD - 207703514 |
Business Phone Number: | 3012203009 |
Business Fax Number: | 3012202373 |
Mailing Address: | 11216 Cherry Hill Rd, T1 BELTSVILLE |
State: | MD |
Postal Code: | 207053821 |
Phone Number: | 3015950646 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 20689 |
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 |