Doctor Name: | JASON NUNN |
NPI Number: | 1427167931 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 21596 |
Business Practice Address: | 11200 Scaggsville Rd Unit 114 Laurel, MD - 207232022 |
Business Phone Number: | 3013178373 |
Business Fax Number: | 3013178375 |
Mailing Address: | 1838 Greene Tree Rd, Suite 290 BALTIMORE |
State: | MD |
Postal Code: | 212086391 |
Phone Number: | 4106539813 |
Fax Number: | |
NPI Enumeration Date: | 08/29/2006 |
NPI Last Update Date: | 05/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 21596 |
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 |