# FOREVER FIT PHYSICAL THERAPY & WELLNESS

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

## Provider details

- **NPI number:** 1144892555
- **Authorized official:** KRISTA R FREDERIC PT, MPT (OWNER)
- **Authorized official phone:** (610) 457-6613

## Contact information

- **Practice address:** 9500 MEDICAL CENTER DR STE 300, LARGO, MD 20774-3714
- **Practice address phone:** (301) 388-5870
- **Practice address fax:** (301) 500-2175
- **Mailing address:** PO BOX 356, BURTONSVILLE, MD 20866-0356
- **Mailing address phone:** (301) 421-1125
- **Mailing address fax:** (301) 500-2175

## Taxonomy

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

## Other

- **Enumeration date:** 07/14/2021
- **Last updated:** 10/22/2021
