Hairston, Pamela C

Hairston, Pamela C is an sole proprietor health care provider with primary practice located at 14021 Reverend Boucher Pl , Upper Marlboro MD 20772-5959. 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. Hairston, Pamela C can be contacted via phone (301) 627-1823.

Contact Information

Primary practice address
14021 Reverend Boucher Pl Upper Marlboro MD 20772-5959
Phone: (301) 627-1823
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 20344 Maryland

Profile Details

NPI number 1104028190
LBN Legal business name Hairston, Pamela C
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2007
Last updated Jul 14th, 2008 - about 17 years ago

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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