Provider Demographics
NPI:1558969121
Name:DARRAH, SYDNEY TAYLOR (DPT)
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:TAYLOR
Last Name:DARRAH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:SYDNEY
Other - Middle Name:TAYLOR
Other - Last Name:LUNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:161 THOMAS JOHNSON DR STE 100
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4314
Mailing Address - Country:US
Mailing Address - Phone:301-694-8311
Mailing Address - Fax:240-629-8549
Practice Address - Street 1:161 THOMAS JOHNSON DR STE 100
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4314
Practice Address - Country:US
Practice Address - Phone:301-694-8311
Practice Address - Fax:240-629-8549
Is Sole Proprietor?:No
Enumeration Date:2020-10-15
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27483225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist