| Doctor Name: | MARY POLISSEDJIAN |
| NPI Number: | 1386863736 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 15698 |
| Business Practice Address: | Shady Grove Adventist Hospital 9901 Medical Center Dr Rockville, MD - 208551023 |
| Business Phone Number: | 3012796000 |
| Business Fax Number: | |
| Mailing Address: | 18028 Mill Creek Dr, DERWOOD |
| State: | MD |
| Postal Code: | 208551023 |
| Phone Number: | 3019777885 |
| Fax Number: | |
| NPI Enumeration Date: | 04/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 15698 |
| 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 |