Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 16348 | MD |
NPI | 1063980993 |
---|---|
Provider Name | Kathleen A Toscano |
First Address | Olney, MD 20832-1260 |
Second Address | Olney, MD 20832-1260 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2018 |
Last Update Date | 08/11/2018 |