# BODYTECH PHYSICAL MEDICINE & WELLNES

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

## Provider details

- **NPI number:** 1164673240
- **Authorized official:** MS. DOLORES S ZUMBADO DC (OWNER)
- **Authorized official phone:** (301) 987-0111

## Contact information

- **Practice address:** 811 RUSSELL AVE STE B, GAITHERSBURG, MD 20879-3524
- **Practice address phone:** (301) 987-0111
- **Practice address fax:** (301) 987-0114
- **Mailing address:** 811 RUSSEL AVE STE B, GAITHERSBURG, MD 20879-3524
- **Mailing address phone:** (301) 987-0111
- **Mailing address fax:** (301) 987-0114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | D37279 | MD | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/07/2008
- **Last updated:** 10/07/2008