| Doctor Name: | CRYSONNA R. PREBBLE |
| NPI Number: | 1174810410 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 20396 |
| Business Practice Address: | 30 West Gude Drive Suite 160 Rockville, MD - 20850 |
| Business Phone Number: | 3012513757 |
| Business Fax Number: | 3012513731 |
| Mailing Address: | 51 Monroe Street, Suite 1207 ROCKVILLE |
| State: | MD |
| Postal Code: | 20850 |
| Phone Number: | 3018382040 |
| Fax Number: | 3018382041 |
| NPI Enumeration Date: | 07/07/2011 |
| NPI Last Update Date: | 07/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 20396 |
| 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 |