Healthcare Provider Details

I. General information

NPI: 1487915252
Provider Name (Legal Business Name): JOSEPHINE EGAN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2012
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7825 TUCKERMAN LN STE 211
POTOMAC MD
20854-3241
US

IV. Provider business mailing address

4018 GLENRIDGE ST
KENSINGTON MD
20895-3707
US

V. Phone/Fax

Practice location:
  • Phone: 301-701-6877
  • Fax: 301-701-6845
Mailing address:
  • Phone: 301-701-6877
  • Fax: 301-701-6845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number23956
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: