| Doctor Name: | TRACY C VIDEON |
| NPI Number: | 1225083017 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, ATC |
| License Number: | 18162 |
| Business Practice Address: | 1401 Conowingo Rd Suite C Bel Air, MD - 210141809 |
| Business Phone Number: | 4104202257 |
| Business Fax Number: | 4104202267 |
| Mailing Address: | 1002 Redbrook Ct, BEL AIR |
| State: | MD |
| Postal Code: | 210145577 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/23/2006 |
| NPI Last Update Date: | 07/01/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 18162 |
| 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 |