MEDICARE: DEBORAH A SLOTA PT

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	22189	MD

General Provider Information

NPI Number	:	1598980336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH A SLOTA PT

Provider Business Mailing Address
First Line	:	1836 GREENE TREE RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21208-1301
Country	:	US
Telephone Number	:	410-486-9992
Fax Number	:	410-486-8680

Provider Business Practice Location Address
First Line	:	1836 GREENE TREE RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21208-1301
Country	:	US
Telephone Number	:	410-486-9992
Fax Number	:	410-486-8680

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

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	07/08/2007

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Directions to “ DEBORAH A SLOTA PT” Practice Location

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