Rachel Gestido Bonnell, MPT

Individual provider Active NPI Physical Therapist · White Marsh, MD

NPI 1003373770 · NPPES record last updated Feb 28, 2019

Key facts

NPI
1003373770
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
21046 (MD)
Practice address
5529 Overlook Cir
White Marsh, MD 21162-3412
Phone
(443) 827-1488
NPI assigned
Feb 28, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
21046MDMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 21046 MD Yes

Addresses

Primary practice location

5529 Overlook Cir
White Marsh, MD 21162-3412

Mailing address

5529 Overlook Cir
White Marsh, MD 21162-3412

Other providers in White Marsh, MD

All providers in White Marsh, MD · Physical Therapist in Maryland

Sources for this page

Verify at the official NPI Registry.