Provider Demographics
NPI:1275142937
Name:DANCY, RONALD CLARK (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:CLARK
Last Name:DANCY
Suffix:
Gender:M
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 1:15511 GERMANTOWN RD
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-3040
Mailing Address - Country:US
Mailing Address - Phone:240-750-9852
Mailing Address - Fax:
Practice Address - Street 1:18221 VILLAGE CENTER DR
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1416
Practice Address - Country:US
Practice Address - Phone:301-798-7031
Practice Address - Fax:301-917-9079
Is Sole Proprietor?:No
Enumeration Date:2020-07-29
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27950225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist