Individual
AMY ELIZABETH PANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
20500 SENECA MEADOWS PKWY, GERMANTOWN, MD 20876-7008
(301) 916-8500
(301) 528-6258
Mailing address
20500 SENECA MEADOWS PKWY, GERMANTOWN, MD 20876-7008
(301) 916-8500
(301) 528-6258
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22998
MD
225100000X
Physical Therapist
J10002401
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239917ZD6T
MEDICARE PTAN
—
Enumeration date
08/11/2008
Last updated
06/13/2012
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