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Organization
BETHESDA PHYSICAL THERAPY
Active
Organization
BETHESDA PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN P BRODNICK P.T. (OWNER)
(301) 897-0357
Entity
Organization
Contact information
Practice address
6410 ROCKLEDGE DR, SUITE 301, BETHESDA, MD 20817-1809
(301) 897-0357
(301) 897-2148
Mailing address
6410 ROCKLEDGE DR, SUITE 301, BETHESDA, MD 20817-1809
(301) 897-0357
(301) 897-2148
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15634
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130724
MAMSI
MD
01
—
375B
BCBS (MD)
MD
01
—
K130
BCBS (DC)
DC
Enumeration date
12/29/2006
Last updated
08/22/2020
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