Provider Demographics
NPI:1487878765
Name:FELIX, MARIA PAZ (PT)
Entity type:Individual
Prefix:
First Name:MARIA PAZ
Middle Name:
Last Name:FELIX
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 1:9063 BALTIMORE ST
Mailing Address - Street 2:
Mailing Address - City:SAVAGE
Mailing Address - State:MD
Mailing Address - Zip Code:20763-9649
Mailing Address - Country:US
Mailing Address - Phone:301-725-2708
Mailing Address - Fax:
Practice Address - Street 1:1111 EAST COLD SPRING LANE
Practice Address - Street 2:PROGRESSIVE REHABS SERVICES
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21239
Practice Address - Country:US
Practice Address - Phone:410-312-7631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21413225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist