Provider Demographics
NPI:1194008706
Name:AYD, DANA (DPT)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:AYD
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10084 REISTERSTOWN RD STE 300B
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-4160
Mailing Address - Country:US
Mailing Address - Phone:443-394-2680
Mailing Address - Fax:443-394-2684
Practice Address - Street 1:4000 MITCHELLVILLE RD
Practice Address - Street 2:A400
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-3104
Practice Address - Country:US
Practice Address - Phone:301-805-7110
Practice Address - Fax:301-805-7114
Is Sole Proprietor?:No
Enumeration Date:2011-09-21
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23812225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist