| Doctor Name: | TIA R CARL |
| NPI Number: | 1235244658 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 21940 |
| Business Practice Address: | 620 W Macphail Rd Suite 105 Bel Air, MD - 210144337 |
| Business Phone Number: | 4103999590 |
| Business Fax Number: | 4103999591 |
| Mailing Address: | 1400 Dalmation Pl, Apt 102 BELCAMP |
| State: | MD |
| Postal Code: | 210171617 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/19/2006 |
| NPI Last Update Date: | 09/07/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 21940 |
| 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 |