Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ebony Samuels

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1871069419

Ebony Samuels is a Student in an Organized Health Care Education/Training Program in Olney, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2018
Specialties on file
2

Practice location Address checks out

18109 Prince Philip Dr Ste B200
Olney, MD 20832-1591
Phone: (301) 570-7415
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A5202 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1871069419
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 22, 2018
Last updated in NPPESAugust 12, 2019
Mailing address12146 Pond Pine Dr, Clarksburg, MD 20871-4475

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