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NPI Code Detail

MEDICARE: ALISHA T LADENBURG DPT

MEDICARE: ALISHA T LADENBURG DPT
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
1225100000XPhysical Therapist30127MD

General Provider Information

NPI Number : 1629801527
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISHA T LADENBURG DPT
Provider Business Mailing Address
First Line : 1071 SEVEN LOCKS RD
Second Line :
City : ROCKVILLE
State : MD
Zip : 20854-2903
Country : US
Telephone Number : 301-515-0900
Fax Number : 240-912-2381
Provider Business Practice Location Address
First Line : 1071 SEVEN LOCKS RD
Second Line :
City : ROCKVILLE
State : MD
Zip : 20854-2903
Country : US
Telephone Number : 301-515-0900
Fax Number : 240-912-2381
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2024
Last Update Date : 10/01/2024

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