Provider Demographics
NPI:1891064861
Name:ESTES, BRIANA K (DPT)
Entity Type:Individual
Prefix:
First Name:BRIANA
Middle Name:K
Last Name:ESTES
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:645 BALTIMORE ANNAPOLIS BLVD STE 111
Mailing Address - Street 2:
Mailing Address - City:SEVERNA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:21146-3956
Mailing Address - Country:US
Mailing Address - Phone:410-544-2500
Mailing Address - Fax:
Practice Address - Street 1:9199 REISTERSTOWN RD STE 101B
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4513
Practice Address - Country:US
Practice Address - Phone:443-898-8160
Practice Address - Fax:833-378-2068
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-21
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23733225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist