Individual provider · NPI-1

Jessica Simeone, ATC

Physical Medicine & Rehabilitation, Sports Medicine · Laurel, MD

NPI number1174077176
StatusActive
Last updated in NPPESAug 8, 2016

Details

NPI
1174077176
Entity type
Individual (NPI-1)
Name
Jessica Simeone
Credential
ATC
Sex
Female
Sole proprietor
No
Enumeration date
Aug 8, 2016
Last updated
Aug 8, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2081S0010X Physical Medicine & Rehabilitation, Sports MedicineA0000846MDYes

Practice location

14700 Baltimore Ave
#106
Laurel, MD 20707-4877

Phone 240-754-2203

Mailing address

10705 Cardington Way
Apt T2
Cockeysville, MD 21030-3065

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