Provider Demographics
NPI:1902248610
Name:KYPRIANOU, RACHEL A (DPT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:A
Last Name:KYPRIANOU
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 CROSSROADS DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5420
Mailing Address - Country:US
Mailing Address - Phone:410-998-9133
Mailing Address - Fax:410-998-9155
Practice Address - Street 1:23 CROSSROADS DR
Practice Address - Street 2:SUITE 300
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5420
Practice Address - Country:US
Practice Address - Phone:410-998-9133
Practice Address - Fax:410-998-9155
Is Sole Proprietor?:No
Enumeration Date:2013-07-23
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD26164225100000X
PAPT023033225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist