Doctor Name: | MICHAEL BLONDELL |
NPI Number: | 1306866470 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T., M.T.C. |
License Number: | 15798 |
Business Practice Address: | 2300 Bel Air Rd Fallston, MD - 210472716 |
Business Phone Number: | 4108770222 |
Business Fax Number: | 4108772599 |
Mailing Address: | Po Box 179, FOREST HILL |
State: | MD |
Postal Code: | 210500179 |
Phone Number: | 4108770222 |
Fax Number: | 4108772599 |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 02/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 15798 |
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 |