# PRIMARY PHYSICAL THERAPY, INC.

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

## Provider details

- **NPI number:** 1205380011
- **Authorized official:** DAVID HYUNG LEE PT, DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (301) 948-4395

## Contact information

- **Practice address:** 15201 SHADY GROVE RD STE 106, ROCKVILLE, MD 20850-3217
- **Practice address phone:** (301) 948-4395
- **Practice address fax:** (301) 407-1860
- **Mailing address:** 15201 SHADY GROVE RD STE 106, ROCKVILLE, MD 20850-3217
- **Mailing address phone:** (301) 948-4395
- **Mailing address fax:** (301) 407-1860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 24612 | MD | Yes |

## Other

- **Enumeration date:** 08/09/2016
- **Last updated:** 11/29/2022