Provider Demographics
NPI:1972680684
Name:VOELKEL, CAROL HUBER (PT)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:HUBER
Last Name:VOELKEL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:
Other - Last Name:HUBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:13141 GARRETT HWY
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21550-1164
Mailing Address - Country:US
Mailing Address - Phone:301-334-5220
Mailing Address - Fax:301-334-6277
Practice Address - Street 1:13141 GARRETT HIGHWAY
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:MD
Practice Address - Zip Code:21550
Practice Address - Country:US
Practice Address - Phone:301-334-5220
Practice Address - Fax:301-334-6277
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15477225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD11936OtherPRIORITY PARTNERS
MD288979OtherALLIANCE/MD.IPA/OPTIMUM C
MDE273 0004OtherGHMSI & BCBS FEDERAL
MD15477OtherLICENSE #
MD60907701OtherCAREFIRST BBS
WV7305056000Medicaid
MD682LA092Medicare PIN