# BOWIE PHYSICAL THERAPY ASSOCIATES INC

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

## Provider details

- **NPI number:** 1093889990
- **Authorized official:** MS. MARY JANE FERNANADEZ PT (CO DIRECTOR OFFICE MANAGER)
- **Authorized official phone:** (301) 464-1893

## Contact information

- **Practice address:** 4351 NORTHVIEW DRIVE, BOWIE, MD 20716-2602
- **Practice address phone:** (301) 464-1489
- **Mailing address:** 4351 NORTHVIEW DRIVE, BOWIE, MD 20716-2602
- **Mailing address phone:** (301) 464-1489
- **Mailing address fax:** (301) 464-1824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 02/22/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | H379 | CAREFIRST | MD |
| 01 | — | S891 | CAREFIRST | DC |