Provider Demographics
NPI:1487119061
Name:BRUMFIELD, NATALIE C (PT, DPT)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:C
Last Name:BRUMFIELD
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:C
Other - Last Name:CAMPANILE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:187 THOMAS JOHNSON DR STE 6
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4382
Mailing Address - Country:US
Mailing Address - Phone:301-473-5945
Mailing Address - Fax:301-473-5901
Practice Address - Street 1:187 THOMAS JOHNSON DR STE 6
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4382
Practice Address - Country:US
Practice Address - Phone:301-473-5945
Practice Address - Fax:301-473-5901
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-07
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27343225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty