Provider Demographics
NPI:1669684049
Name:BRANDON, ZAVERA RANJI (PT, DPT, CBIS)
Entity Type:Individual
Prefix:DR
First Name:ZAVERA
Middle Name:RANJI
Last Name:BRANDON
Suffix:
Gender:F
Credentials:PT, DPT, CBIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12912 PICKERING DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-3811
Mailing Address - Country:US
Mailing Address - Phone:240-271-1667
Mailing Address - Fax:
Practice Address - Street 1:9801 BROKENLAND PKWY
Practice Address - Street 2:SUITE 103
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-3080
Practice Address - Country:US
Practice Address - Phone:410-290-6533
Practice Address - Fax:410-290-8646
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20933225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist