Provider Demographics
NPI:1083387674
Name:SCHWARTZ, MAYA ALEXANDRA (PT, DPT)
Entity Type:Individual
Prefix:
First Name:MAYA
Middle Name:ALEXANDRA
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7129 MORNING LIGHT TRL
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-4905
Mailing Address - Country:US
Mailing Address - Phone:443-472-2032
Mailing Address - Fax:
Practice Address - Street 1:7468 CANDLEWOOD RD STE H3
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076-3211
Practice Address - Country:US
Practice Address - Phone:410-684-5642
Practice Address - Fax:443-632-0521
Is Sole Proprietor?:No
Enumeration Date:2021-07-29
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD285032081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine