Provider Demographics
NPI:1780823872
Name:POHL, ANGELA JASMAN (PT)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:JASMAN
Last Name:POHL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16900 SCIENCE DR STE 104-106
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20715-4401
Mailing Address - Country:US
Mailing Address - Phone:301-805-7110
Mailing Address - Fax:301-805-7114
Practice Address - Street 1:16900 SCIENCE DR STE 104-106
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715-4401
Practice Address - Country:US
Practice Address - Phone:301-805-7110
Practice Address - Fax:301-805-7114
Is Sole Proprietor?:No
Enumeration Date:2009-02-12
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22811225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist