Healthcare Provider Details

I. General information

NPI: 1528994506
Provider Name (Legal Business Name): LUNA SILVA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7615 WASHINGTON BLVD
ELKRIDGE MD
21075-6443
US

IV. Provider business mailing address

6904 ALLVIEW DR
COLUMBIA MD
21046-1105
US

V. Phone/Fax

Practice location:
  • Phone: 141-057-9262
  • Fax:
Mailing address:
  • Phone: 352-213-3044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: