Edson Perez Carencia
Physical Therapist - Geriatrics
3290 N Ridge Rd Suite 290
Ellicott City
, Maryland 21043-3655
Edson Perez Carencia
Physical Therapist - Geriatrics
3290 N Ridge Rd Suite 290
Ellicott City
, Maryland 21043-3655
(410) 750-9006
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About
Features
Specialties
- Physical Therapist - Geriatrics
Languages spoken
- English
Location
First Address
- Edson Perez Carencia
- 3290 N Ridge Rd Suite 290
- Ellicott City, MD
- Zip : 21043-3655
- Phone : (410) 750-9006
Second Address
- Edson Perez Carencia
- 3290 N Ridge Rd Suite 290
- Ellicott City, MD
- Zip : 21043-3655
- Phone : (410) 750-9006
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251G0304X | Physical Therapist - Geriatrics |
National Provider Identifier
| NPI | 1134365356 |
|---|---|
| Provider Name | Edson Perez Carencia |
| First Address | Ellicott City, MD 21043-3655 |
| Second Address | Ellicott City, MD 21043-3655 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/12/2008 |
| Last Update Date | 17/12/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.