Ebony Tabanao RPT

NPI 1245569896 - Physical Therapist - 225100000X

NPI Details
NPI 1245569896
Gender Female
Enumeration Date 12/10/2009
Last Updated 12/10/2009
Entity Type Individual
Active Over 6 years ago
Practice Location
1 LOVE LN
SOUTH DENNIS MA, 02660-3445, US
Phone (413) 557-8020
Fax
Business Location
3290 N RIDGE RD
SUITE 290
ELLICOTT CITY MD, 21043-3655, US
Phone (413) 557-8020
Fax (410) 750-0787
Toxanomy
Taxonomy Code 225100000X
License State Massachusetts
License Number 18102
Remove 1245569896 NPI Number
 

According to our database, Ebony Tabanao RPT NPI is 1245569896, taxonomy code is 225100000X and license number is 18102, license state is located at Massachusetts. Ebony Tabanao RPT physically located at 1 Love Ln, South Dennis MA, 02660-3445. NPI Number Ebony Tabanao RPT has the Individual type.

Sponsored links

1245569896 NPI number is provided on an as is basis without warranty of any kind. 1245569896 is maintained by the National Plan & Provider Enumeration System. The contents of Ebony Tabanao RPT are for informational purposes only.