# PRIMEPHYSICALTHERAPYLLC

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

## Provider details

- **NPI number:** 1154868172
- **Authorized official:** MR. WON YOO P.T., D.P.T. (OWNER)
- **Authorized official phone:** (757) 615-8409

## Contact information

- **Practice address:** 1332 LONDONTOWN BLVD, ELDERSBURG, MD 21784-6587
- **Practice address phone:** (443) 531-5888
- **Practice address fax:** (410) 877-2002
- **Mailing address:** 1332 LONDONTOWN BLVD, ELDERSBURG, MD 21784-6587
- **Mailing address phone:** (443) 531-5888
- **Mailing address fax:** (410) 877-2002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 23717 | MD | Yes |

## Other

- **Enumeration date:** 01/28/2017
- **Last updated:** 11/28/2017