Provider Demographics
NPI:1033811674
Name:GIANNARAS, PAULA MARIE (PT)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:MARIE
Last Name:GIANNARAS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 PAIGE LN
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21921-7631
Mailing Address - Country:US
Mailing Address - Phone:410-920-8463
Mailing Address - Fax:
Practice Address - Street 1:112 PAIGE LN
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-7631
Practice Address - Country:US
Practice Address - Phone:410-920-8463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist