MEDICARE: JOSEPHINE EGAN 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
1	225100000X	Physical Therapist	23956	MD

General Provider Information

NPI Number	:	1487915252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPHINE EGAN DPT

Provider Business Mailing Address
First Line	:	4018 GLENRIDGE ST
Second Line	:
City	:	KENSINGTON
State	:	MD
Zip	:	20895-3707
Country	:	US
Telephone Number	:	301-701-6877
Fax Number	:	301-701-6845

Provider Business Practice Location Address
First Line	:	7825 TUCKERMAN LN STE 211
Second Line	:
City	:	POTOMAC
State	:	MD
Zip	:	20854-3241
Country	:	US
Telephone Number	:	301-701-6877
Fax Number	:	301-701-6845

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2012
Last Update Date	:	03/12/2026

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Directions to “ JOSEPHINE EGAN DPT” Practice Location

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