Provider Demographics
NPI:1932205424
Name:PIANTA, WRAY PARDY (MMSC PT)
Entity Type:Individual
Prefix:MRS
First Name:WRAY
Middle Name:PARDY
Last Name:PIANTA
Suffix:
Gender:F
Credentials:MMSC PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6605 FOX MEADE CT
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-9493
Mailing Address - Country:US
Mailing Address - Phone:301-698-9681
Mailing Address - Fax:
Practice Address - Street 1:6605 FOX MEADE CT
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-9493
Practice Address - Country:US
Practice Address - Phone:301-698-9681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2009-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD192412251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD551810OtherMAMSI
MD2004876OtherUNITED HEALTHCARE