Doctor Name: | MRS. MARCY MANES PAPE |
NPI Number: | 1265747950 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT, CLT, CBIS |
License Number: | PT015123 |
Business Practice Address: | National Intrepid Center Of Excellence 8901 Wisconsin Ave. Bethesda, MD - 208890001 |
Business Phone Number: | 3013193740 |
Business Fax Number: | |
Mailing Address: | National Intrepid Center Of Excellence, 8901 Wisconsin Ave. BETHESDA |
State: | MD |
Postal Code: | 208890001 |
Phone Number: | 3013193740 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2010 |
NPI Last Update Date: | 08/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PT015123 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |