Provider Demographics
NPI:1447568910
Name:ARAGONA, CAROLYN (DPT)
Entity Type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:
Last Name:ARAGONA
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 1:19 WALKER AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-4075
Mailing Address - Country:US
Mailing Address - Phone:410-484-2855
Mailing Address - Fax:410-484-5090
Practice Address - Street 1:19 WALKER AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-4075
Practice Address - Country:US
Practice Address - Phone:410-484-2855
Practice Address - Fax:410-484-5090
Is Sole Proprietor?:No
Enumeration Date:2010-09-18
Last Update Date:2010-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23417225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist