Healthcare Provider Details

I. General information

NPI: 1851229645
Provider Name (Legal Business Name): JOELLE SZYCHOWSKI PT DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5051 GREENSPRING AVE STE 303
BALTIMORE MD
21209-4358
US

IV. Provider business mailing address

508 S LUZERNE AVE
BALTIMORE MD
21224-3715
US

V. Phone/Fax

Practice location:
  • Phone: 410-601-7366
  • Fax:
Mailing address:
  • Phone: 410-349-7692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number30827
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: