Evidence Physical Therapy, LLC
Physical Therapist in Clinton, MD. Organization (NPI-2).
NPI number1982176988
StatusActive
Last updated in NPPESJan 2, 2019
Details
- NPI
- 1982176988
- Entity type
- Organization (NPI-2)
- Legal business name
- Evidence Physical Therapy, LLC
- Organization subpart
- Yes
- Enumeration date
- Jan 2, 2019
- Last updated
- Jan 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
7801 Old Branch Ave Ste 105Clinton, MD 20735-1641
Phone 301-856-8386
Mailing address
12150 Annapolis Rd Ste 201Glenn Dale, MD 20769-9183
Phone 301-352-8370 · Fax 301-352-8372
Authorized official
Hassana Moses
Practice Administrator
3013528370
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