IndividualActive
Karol Moore, PHYSICAL THERAPIST
NPI 1790255115 · Pediatric Physical Therapist · Ellicott City, MD
Provider details
- NPI number
- 1790255115
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PHYSICAL THERAPIST
- Sex
- Female
- Sole proprietor
- Yes
- License
- 15759 (MD)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
10910 Clarksville Pike
Ellicott City, MD 21042-6106
Phone: (410) 913-0567
Approximate (ZIP-level) locationGet directions
Mailing address
10910 Clarksville Pike
Ellicott City, MD 21042-6106
Registry dates
- Enumerated
- 2018-11-28
- Last updated
- 2018-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.