Ebony Samuels
Physical Therapy Assistant in Olney, MD. Individual provider (NPI-1).
NPI number1871069419
StatusActive
Last updated in NPPESAug 12, 2019
Details
- NPI
- 1871069419
- Entity type
- Individual (NPI-1)
- Name
- Ebony Samuels
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 22, 2018
- Last updated
- Aug 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | A5202 | MD | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
18109 Prince Philip Dr Ste B200Olney, MD 20832-1591
Phone 301-570-7415
Mailing address
12146 Pond Pine DrClarksburg, MD 20871-4475
Phone 352-942-5151
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Other Physical Therapy Assistant providers in Olney, MD
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All 22 Physical Therapy Assistant providers in Olney · All 999 providers in Olney
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