Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 20599 | MD |
NPI | 1003017625 |
---|---|
Provider Name | Ms. Jannelle Solange Barrow |
First Address | North Potomac, MD 20878-3772 |
Second Address | Gaithersburg, MD 20877-2805 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2007 |
Last Update Date | 08/07/2007 |