MS. Pamela C Hairston, DPT

NPI #1104028190 in Upper Marlboro, Maryland

Provider Information

NPI Number: 1104028190
Entity Type: Individual
Name: MS. Pamela C Hairston, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jun 3, 2007
Last Updated: Jul 14, 2008

Practice Location

Address: 14021 REVEREND BOUCHER PL
City: Upper Marlboro
State: Maryland
ZIP Code: 20772-5959
Phone: (301) 627-1823

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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