Organization · NPI-2

Accessible Integrative Medicine, LLC

Physical Medicine & Rehabilitation, Pain Medicine · Laurel, MD

NPI number1023876232
StatusActive
Last updated in NPPESSep 19, 2024

Details

NPI
1023876232
Entity type
Organization (NPI-2)
Legal business name
Accessible Integrative Medicine, LLC
Organization subpart
No
Enumeration date
Mar 12, 2024
Certification date
Sep 19, 2024
Last updated
Sep 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine––Yes
207R00000X Internal Medicine––

Other names

  • Legacy Spine And Pain Management (Doing Business As)

Practice location

14205 Park Center Dr Ste 201
Laurel, MD 20707-5252

Phone 301-962-4278

Mailing address

20 Courthouse Sq Ste 204
Rockville, MD 20850-2338

Phone 301-962-4278

Authorized official

Alan Gonzalez-Cota
Ceo
3019624278

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