NPI 1104362839

Michelle Phebus, ATC

Practitioner Other Specialist/Technologist Severn, MD

Practice location

Address: 1812 Lorgnette CT, Severn, MD 21144-1635
Phone: (443) 844-6696

Registered specialties

Other Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X Licence A0000632 (MD)

Other Specialist/Technologist, Other providers in Maryland →

Registry record

NPI: 1104362839
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jan 2017
Record last updated: 19 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.