Provider Demographics
NPI:1992145924
Name:MAYO, JOCEL ROCEL RAPUES (PT)
Entity type:Individual
Prefix:
First Name:JOCEL ROCEL
Middle Name:RAPUES
Last Name:MAYO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:482 KENILWORTH CT
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-6141
Mailing Address - Country:US
Mailing Address - Phone:301-335-7437
Mailing Address - Fax:
Practice Address - Street 1:7300 RITCHIE HWY STE 104
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-3393
Practice Address - Country:US
Practice Address - Phone:410-863-5939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-05
Last Update Date:2018-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23066225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist