Individual
DANIELLE SCOGLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7310 RITCHIE HWY, SUITE 500, GLEN BURNIE, MD 21061-3065
(410) 766-4047
Mailing address
18109 PRINCE PHILIP DR STE 155, OLNEY, MD 20832-1591
(301) 260-3280
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20626
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
283MK079
MEDICARE PTAN
MD
Enumeration date
06/29/2006
Last updated
12/17/2019
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