Mary Barbara Laudeman, PT
Individual provider Active NPI Physical Therapist · Glen Arm, MD
NPI 1801487251 · NPPES record last updated Jan 28, 2021
Key facts
- NPI
- 1801487251
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 16409 (MD)
- Practice address
- 11630 Glen Arm Rd
Glen Arm, MD 21057-9403 - Phone
- (667) 213-5690
- NPI assigned
- Jan 28, 2021
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16409 | MD | Yes |
Addresses
Primary practice location
11630 Glen Arm Rd
Glen Arm, MD 21057-9403
Mailing address
9 Windemere Pkwy
Phoenix, MD 21131-2424
Phone (443) 765-0158
Other providers in Glen Arm, MD
- Jayne Heck Hackley
- Homeworks RM, LLC
- Jennifer Inocencio
- JLF Anesthesia
- Kind Healing LLC
- Renee Nicole Leary
- Chelsea Marshall
- Anne French Michaels
- Christine Marie Nelson
- Nicholas A Ostrowski
All providers in Glen Arm, 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 Jan 28, 2021. 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.