| Doctor Name: | MR. MICHAEL TANO FELISILDA |
| NPI Number: | 1649599341 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | PT009014 |
| Business Practice Address: | 9047 Shady Grove Ct Gaithersburg, MD - 208771301 |
| Business Phone Number: | 7068975835 |
| Business Fax Number: | |
| Mailing Address: | 9600 Groveton Cir, Apt. T1 OWINGS MILLS |
| State: | MD |
| Postal Code: | 211178300 |
| Phone Number: | 7068975835 |
| Fax Number: | |
| NPI Enumeration Date: | 05/20/2010 |
| NPI Last Update Date: | 03/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT009014 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| 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 |