Provider Demographics
NPI:1952337446
Name:SIMMS, MAURA ALEXANDRA (DPT ATC)
Entity Type:Individual
Prefix:MRS
First Name:MAURA
Middle Name:ALEXANDRA
Last Name:SIMMS
Suffix:
Gender:F
Credentials:DPT ATC
Other - Prefix:MS
Other - First Name:MAURA
Other - Middle Name:ALEXANDRA
Other - Last Name:MCGOVERN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT ATC
Mailing Address - Street 1:1015 LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3331
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14 MOUNT CARMEL RD
Practice Address - Street 2:
Practice Address - City:PARKTON
Practice Address - State:MD
Practice Address - Zip Code:21120-9721
Practice Address - Country:US
Practice Address - Phone:410-229-0055
Practice Address - Fax:410-229-0035
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDT55942251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic