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NPI 1760092944 · Rehabilitation Practitioner · Upper Marlboro, MD
Provider details
- NPI number
- 1760092944
- Entity type
- Organization
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Mikiela Nelson, Doctor of Physical Therapy(301) 785-1025
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
9698 Marlboro Pike
Upper Marlboro, MD 20772-3767
Phone: (301) 278-7353
Approximate (ZIP-level) locationGet directions
Mailing address
9698 Marlboro Pike
Upper Marlboro, MD 20772-3767
Registry dates
- Enumerated
- 2020-08-03
- Last updated
- 2025-03-20
- Certified
- 2025-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.