Individual ProviderEvelyn Ann MisenerPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address910 Frederick Rd, Catonsville, MD 21228-4516(410) 644-1880PECOS EnrollmentBased on the most recent information from CMS, provider Evelyn Ann Misener does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1124558242Provider TypeIndividualFull NameMisener, Evelyn AnnCredentialDPTGenderFemaleSole ProprietorNoEnumeration Date6/13/2017Last Updated1/27/2023Contact InformationPractice LocationPractice Address910 Frederick Rd, Catonsville, MD 21228-4516Phone(410) 644-1880Fax(410) 646-3623Mailing LocationMailing Address910 Frederick Rd, Catonsville, MD 21228-4516Phone(410) 644-1880Fax(410) 644-0971Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense26503Maryland