Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 25315 | MD |
NPI | 1003213083 |
---|---|
Provider Name | Rachel A Lerman |
First Address | Arnold, MD 21012-1012 |
Second Address | Fulton, MD 20759-2565 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2014 |
Last Update Date | 08/03/2019 |