Doctor Name: | DR. ZYKIA LARUE |
NPI Number: | 1841669355 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 25659 |
Business Practice Address: | 6710 Mallery Dr Lanham, MD - 20706 |
Business Phone Number: | 3015522000 |
Business Fax Number: | |
Mailing Address: | 126 Gothal Dr, JOHNSTOWN |
State: | PA |
Postal Code: | 159021415 |
Phone Number: | 8142446585 |
Fax Number: | |
NPI Enumeration Date: | 09/15/2015 |
NPI Last Update Date: | 09/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 25659 |
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 |