Countiss, Mia A
Countiss, Mia A is an individual health care provider with primary practice located at 11701 Livingston Rd Ste 202 , Fort Washington MD 20744-5136. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Countiss, Mia A can be contacted via phone (110) 456-2537.Contact Information
Primary practice address
11701 Livingston Rd Ste 202
Fort Washington MD 20744-5136
Phone: (110) 456-2537
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
NPI number | 1104562537 |
---|---|
LBN Legal business name | Countiss, Mia A |
Credentials | PT, DPT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 9th, 2022 |
Last updated | May 6th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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