Provider Demographics
NPI:1437198413
Name:FURTADO, MARIBEL (THERAPIST)
Entity Type:Individual
Prefix:MISS
First Name:MARIBEL
Middle Name:
Last Name:FURTADO
Suffix:
Gender:F
Credentials:THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8749 GREENBELT RD
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2403
Mailing Address - Country:US
Mailing Address - Phone:301-552-0175
Mailing Address - Fax:301-552-8835
Practice Address - Street 1:2 POST OFFICE RD
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-2726
Practice Address - Country:US
Practice Address - Phone:301-885-2500
Practice Address - Fax:301-885-2501
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19224225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist