Neelam Lakade, PT

Individual provider Active NPI Physical Therapist · Boonsboro, MD

NPI 1669941910 · NPPES record last updated Nov 15, 2018

Key facts

NPI
1669941910
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
25671 (MD)
Practice address
141 S Main St
Boonsboro, MD 21713-1203
Phone
(716) 239-9959
NPI assigned
Nov 15, 2018
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
25671MDMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 25671 MD Yes

Addresses

Primary practice location

141 S Main St
Boonsboro, MD 21713-1203

Mailing address

141 S Main St
Boonsboro, MD 21713-1203
Phone (716) 239-9959

Other providers in Boonsboro, MD

All providers in Boonsboro, MD · Physical Therapist in Maryland

Sources for this page

Verify at the official NPI Registry.