Provider Demographics
NPI:1184498230
Name:DOLAN, SLOAN
Entity type:Individual
Prefix:
First Name:SLOAN
Middle Name:
Last Name:DOLAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8606 BUCKHANNON DR
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-3505
Mailing Address - Country:US
Mailing Address - Phone:301-395-8481
Mailing Address - Fax:
Practice Address - Street 1:8606 BUCKHANNON DR
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-3505
Practice Address - Country:US
Practice Address - Phone:301-395-8481
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist