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NPI Code Detail

MEDICARE: MRS. WENDY S. REED PTA

MEDICARE: MRS. WENDY S. REED PTA
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
1225200000XPhysical Therapy AssistantA1491MD

General Provider Information

NPI Number : 1649399072
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. WENDY S. REED PTA
Provider Business Mailing Address
First Line : 10706 CARDINGTON WAY APT T2
Second Line :
City : COCKEYSVILLE
State : MD
Zip : 21030-3070
Country : US
Telephone Number : 410-821-5500
Fax Number : 410-296-4932
Provider Business Practice Location Address
First Line : 7700 YORK RD
Second Line :
City : TOWSON
State : MD
Zip : 21204-7513
Country : US
Telephone Number : 410-821-5500
Fax Number : 410-296-4932
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 07/08/2007

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