Chaunell Lucretia Abrams, PT, DPT
Individual provider Active NPI Physical Therapist · Clarksville, MD
NPI 1720569668 · NPPES record last updated Aug 28, 2018
Key facts
- NPI
- 1720569668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 27166 (MD)
- Practice address
- 6100 Daylong LN
Clarksville, MD 21029-1626 - Phone
- (410) 988-9466
- NPI assigned
- Aug 28, 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27166 | MD | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 27166 | MD | Yes |
Addresses
Primary practice location
6100 Daylong LN
Clarksville, MD 21029-1626
Mailing address
4214 Mary Ridge Dr
Randallstown, MD 21133-4322
Phone (443) 854-5736
Other practice location 1
8885 Centre Park Dr
Columbia, MD 21045-2199
Phone (410) 730-1275
Other providers in Clarksville, MD
- Hannah Adele Aaronson-Barsky
- Aathome Pediatric Nursing Team
- Suzan K Abdo
- Shabana Abdullah
- Sheeba Kalaiselvi Abraham
- Francoise Abrams
- Jeffrey Stuart Abrams
- Olushola Taiwo Adekoya
- Pratibha Agarwal
- Ahmed Al Qaisi
All providers in Clarksville, MD · Physical Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.