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Premier Physical Medicine & Rehabilitation, LLC.

Clinic/Center, Physical Therapy in Largo, MD. Organization (NPI-2).

NPI number1982829693
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1982829693
Entity type
Organization (NPI-2)
Legal business name
Premier Physical Medicine & Rehabilitation, LLC.
Organization subpart
No
Enumeration date
Apr 16, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2000X Clinic/Center, Physical Therapy––Yes

Practice location

1101 Mercantile Ln
Suite 220
Largo, MD 20774-5360

Phone 301-925-1517 · Fax 301-925-1674

Mailing address

Po Box 6302
Capitol Heights, MD 20791-6302

Phone 301-925-1517 · Fax 301-925-1674

Authorized official

Denson Terry
Ceo
3019251517

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