Doctor Name: | MRS. ELLEN MARIE EWING |
NPI Number: | 1275879611 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 16776 |
Business Practice Address: | 4061 Powder Mill Rd Suite 500 Calverton, MD - 207053149 |
Business Phone Number: | 3019575379 |
Business Fax Number: | |
Mailing Address: | 14106 Wainwright Ct, BOWIE |
State: | MD |
Postal Code: | 207151738 |
Phone Number: | 3012626864 |
Fax Number: | 3012626864 |
NPI Enumeration Date: | 12/12/2012 |
NPI Last Update Date: | 12/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 16776 |
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 |