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Organization
SPORTS PRO PHYSICAL THERAPY SOUTH LLC
Active
Organization
SPORTS PRO PHYSICAL THERAPY SOUTH LLC
Active
Parent organization
SPORTS PRO PHYSICAL THERAPY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPORTS PRO PHYSICAL THERAPY LLC
Authorized official
DARYL ANDREW CLARKE PT (OWNER)
(301) 805-5006
Entity
Organization
Contact information
Practice address
930 E SWAN CREEK RD, FORT WASHINGTON, MD 20744-5250
(301) 805-5006
(301) 805-5004
Mailing address
930 E SWAN CREEK RD, FORT WASHINGTON, MD 20744-5250
(301) 805-5006
(301) 805-5004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18090
MD
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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