Provider Demographics
NPI:1831463835
Name:ROWLAND, ROBERT W (DPT)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:W
Last Name:ROWLAND
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 NEWPORT DRIVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:FOREST HILL
Mailing Address - State:MD
Mailing Address - Zip Code:21050-1758
Mailing Address - Country:US
Mailing Address - Phone:410-838-6876
Mailing Address - Fax:410-838-2511
Practice Address - Street 1:12 NEWPORT DRIVE
Practice Address - Street 2:SUITE A
Practice Address - City:FOREST HILL
Practice Address - State:MD
Practice Address - Zip Code:21050-1758
Practice Address - Country:US
Practice Address - Phone:410-838-6876
Practice Address - Fax:410-838-2511
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-08
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23961225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist