Nancy Klemic Evans, PT

Individual provider Active NPI Physical Therapist · Adamstown, MD

NPI 1063676971 · NPPES record last updated Jul 10, 2008

Key facts

NPI
1063676971
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
14509 (MD)
Practice address
3200 Baker Circle
Adamstown, MD 21710
Phone
(301) 644-1646
Fax
(301) 644-1693
NPI assigned
Jul 10, 2008
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
14509MDMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 14509 MD Yes
Geriatric Physical Therapist 2251G0304X 14509 MD

Addresses

Primary practice location

3200 Baker Circle
Adamstown, MD 21710

Mailing address

3200 Baker Circle
Adamstown, MD 21710
Phone (301) 644-1646

Other names

  • Ms. Nancy Klemic Former name

Other providers in Adamstown, MD

All providers in Adamstown, MD · Physical Therapist in Maryland

Sources for this page

Verify at the official NPI Registry.