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Ambulatory Health Care Facilities Clinic/Center Physical Therapy

Provider NPI: 1598234528

Organization Information:
Organization is not Subpart
Authorized Official:  CHERYL  LEE-POW  OWNER  302-379-2843

Practice Location:
Tel: 301-279-9009  Fax: 301-279-9008

Business Mailing Address:
Tel: 301-279-9009  Fax: 301-279-9008

NPI Information:
NPI: 1598234528
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
N261QP2000XAmbulatory Health Care Facilities
Physical Therapy
N261QR0400XAmbulatory Health Care Facilities
Y111NS0005XChiropractic Providers

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 111NS0005X





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