Doctor Name: | MRS. RANDY SUSAN DEMERS |
NPI Number: | 1982909487 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICENSED PHYSICAL TH |
License Number: | 15538 |
Business Practice Address: | 29770 Three Notch Road Charlotte Hall, MD - 20622 |
Business Phone Number: | 3012900800 |
Business Fax Number: | 3012901313 |
Mailing Address: | 11100 Budds Creek Road, CHARLOTTE HALL |
State: | MD |
Postal Code: | 20622 |
Phone Number: | 3012900800 |
Fax Number: | 3012901313 |
NPI Enumeration Date: | 01/14/2011 |
NPI Last Update Date: | 01/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 15538 |
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 |