Organization · NPI-2
Choice Pm&R LLC
Physical Medicine & Rehabilitation · Bowie, MD
NPI number1821393844
StatusActive
Last updated in NPPESJan 25, 2011
Details
- NPI
- 1821393844
- Entity type
- Organization (NPI-2)
- Legal business name
- Choice Pm&R LLC
- Organization subpart
- No
- Enumeration date
- Jan 23, 2011
- Last updated
- Jan 25, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | D0069766 | MD | Yes |
Practice location
3540 Crain Hwy#383
Bowie, MD 20716-1303
Phone 240-206-0621
Mailing address
3540 Crain Hwy#383
Bowie, MD 20716-1303
Phone 240-206-0621
Authorized official
Monique Shockley
Medical Director
2402060621
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