Doctor Name: | MRS. ANGEL ELLIS MOE |
NPI Number: | 1548399546 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | MD17541 |
Business Practice Address: | 9909 Medical Center Drive Rockville, MD - 20850 |
Business Phone Number: | 2408646000 |
Business Fax Number: | 2408646049 |
Mailing Address: | 9909 Medical Center Drive, ROCKVILLE |
State: | MD |
Postal Code: | 20850 |
Phone Number: | 2408646000 |
Fax Number: | 2408646049 |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | MD17541 |
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 |