Genevieve Gizelle Marcos Abendan, RPT
Individual provider Active NPI Physical Therapist · Prince Frederick, MD
NPI 1891015772 · NPPES record last updated Jun 2, 2010
Key facts
- NPI
- 1891015772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 23207 (MD)
- Practice address
- 130 Hospital Rd Ste 103
Prince Frederick, MD 20678-4029 - Phone
- (410) 535-4000
- NPI assigned
- Jun 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23207 | MD | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 23207 | MD | Yes |
Addresses
Primary practice location
130 Hospital Rd Ste 103
Prince Frederick, MD 20678-4029
Mailing address
9932 Shelburne Ter Apt 312
Gaithersburg, MD 20878-5348
Phone (407) 334-1324
Other providers in Prince Frederick, MD
- ABA Trax LLC
- Kenneth Lauron Abbott
- Fasika Berhanu Aberra
- Sarah Ackley
- Noelle Adami
- Diana Christine Adamson
- Adfinitas Health Palliative Services, LLC
All providers in Prince Frederick, 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 Jun 2, 2010. 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.