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Organization
REVOLUTION SPORTS MEDICINE
Active
Organization
REVOLUTION SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY P. LOUGHLIN DPT (PRESIDENT)
(240) 512-0190
Entity
Organization
Contact information
Practice address
6570 DOBBIN RD, COLUMBIA, MD 21045-5855
(240) 512-0190
(240) 512-0192
Mailing address
6570 DOBBIN RD, COLUMBIA, MD 21045-5855
(240) 512-0190
(240) 512-0192
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/22/2015
Last updated
12/14/2016
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