NPI 1174077176

Jessica Simeone, ATC

Practitioner Sports Medicine (Physical Medicine & Rehabilitation) Physician Laurel, MD

Practice location

Address: 14700 Baltimore Ave #106, Laurel, MD 20707-4877
Phone: (240) 754-2203
Mailing address: 10705 Cardington Way APT T2, Cockeysville, MD 21030-3065

Registered specialties

Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081S0010X Licence A0000846 (MD)

Other Physical Medicine & Rehabilitation providers in Maryland →

Registry record

NPI: 1174077176
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Aug 2016
Record last updated: 8 Aug 2016

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.