Provider Demographics
NPI:1366827966
Name:WANG, SIZHU (DPT)
Entity Type:Individual
Prefix:DR
First Name:SIZHU
Middle Name:
Last Name:WANG
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20420 CENTURY BLVD
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-1174
Mailing Address - Country:US
Mailing Address - Phone:240-899-4898
Mailing Address - Fax:301-540-0127
Practice Address - Street 1:20420 CENTURY BLVD
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-1174
Practice Address - Country:US
Practice Address - Phone:240-447-6523
Practice Address - Fax:301-540-0127
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-23
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25428225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD25428OtherMARYLAND STATE BOARD OF PHYSICAL THERAPY EXAMINERS