# ADVANCE PHYSICAL THERAPY & SPORTS REHAB. INC

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

## Provider details

- **NPI number:** 1093954158
- **Authorized official:** MS. MARIAN CUBA RUTA D.P.T. (PRESIDENT)
- **Authorized official phone:** (301) 570-3588

## Contact information

- **Practice address:** 3411 OLANDWOOD CT, SUITE 106, OLNEY, MD 20832-1488
- **Practice address phone:** (240) 750-9966
- **Practice address fax:** (301) 774-1336
- **Mailing address:** 3411 OLANDWOOD CT, SUITE 106, OLNEY, MD 20832-1488
- **Mailing address phone:** (240) 750-9966
- **Mailing address fax:** (301) 774-1336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 18214 | MD | Yes |

## Other

- **Enumeration date:** 02/12/2009
- **Last updated:** 04/18/2012