# PROFLEX PHYSICAL THEARPY OF MARYLAND, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033014428
- **Authorized official:** JA'NISE A WILLIAMS (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (301) 932-4788

## Contact information

- **Practice address:** 3020 HAMAKER CT STE 100, FAIRFAX, VA 22031-2233
- **Practice address phone:** (703) 844-8599
- **Practice address fax:** (703) 844-8594
- **Mailing address:** PO BOX 791217, BALTIMORE, MD 21279-1217
- **Mailing address phone:** (301) 932-4786
- **Mailing address fax:** (301) 932-4789

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |

## Other

- **Enumeration date:** 10/14/2026
- **Last updated:** 10/14/2026