Doctor Name: | TRACY ANNE BRYAN-OLIVER |
NPI Number: | 1366635625 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 18675 |
Business Practice Address: | 4409 E West Hwy Riverdale, MD - 207371058 |
Business Phone Number: | 3019853221 |
Business Fax Number: | |
Mailing Address: | 7601 Greenstable Gate Ln, LAUREL |
State: | MD |
Postal Code: | 207079413 |
Phone Number: | 3013281456 |
Fax Number: | |
NPI Enumeration Date: | 08/21/2007 |
NPI Last Update Date: | 08/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 18675 |
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 |