Doctor Name: | KIMBERLY AGAN |
NPI Number: | 1851706675 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 20957 |
Business Practice Address: | 2730 University Blvd W Ste 812 Wheaton, MD - 209021977 |
Business Phone Number: | 3019627612 |
Business Fax Number: | 3019627782 |
Mailing Address: | 2730 University Blvd W Ste 812, WHEATON |
State: | MD |
Postal Code: | 209021977 |
Phone Number: | 3019627612 |
Fax Number: | 3019627782 |
NPI Enumeration Date: | 07/01/2014 |
NPI Last Update Date: | 07/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 20957 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |