MEDICARE: MAUREEN MAIER P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	21173	MD

General Provider Information

NPI Number	:	1538286638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAUREEN MAIER P.T.

Provider Business Mailing Address
First Line	:	4518 AVONDALE ST APT C
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-3596
Country	:	US
Telephone Number	:	443-474-0054
Fax Number	:

Provider Business Practice Location Address
First Line	:	6915 LAUREL BOWIE RD STE 100
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20715-1715
Country	:	US
Telephone Number	:	240-245-4245
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	04/01/2020

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