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Organization
AFFINITY SPORTS & REHABILITAION PHYSICAL THERAPY
Active
Organization
AFFINITY SPORTS & REHABILITAION PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK ANTONIO MARTIN PT (PHYSICAL THERAPIAT)
(301) 562-1116
Entity
Organization
Contact information
Practice address
1105 SPRING ST, SILVER SPRING, MD 20910-4026
(301) 562-1116
(301) 562-1317
Mailing address
1105 SPRING ST, SILVER SPRING, MD 20910-4026
(301) 562-1116
(301) 562-1317
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
18131
MD
Other
Enumeration date
08/24/2005
Last updated
08/22/2020
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