Doctor Name: | MRS. CRYSTAL FRAZIER ADDISON |
NPI Number: | 1407079577 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 17154 |
Business Practice Address: | 9901 Medical Center Dr Rockville, MD - 208503357 |
Business Phone Number: | 3012796046 |
Business Fax Number: | 2404535792 |
Mailing Address: | 8126 Warfield Rd, GAITHERSBURG |
State: | MD |
Postal Code: | 208824413 |
Phone Number: | 3019479394 |
Fax Number: | |
NPI Enumeration Date: | 04/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 17154 |
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 |