# AFFINITY SPORTS & REHABILITAION PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1376536565
- **Authorized official:** DERRICK ANTONIO MARTIN PT (PHYSICAL THERAPIAT)
- **Authorized official phone:** (301) 562-1116

## Contact information

- **Practice address:** 1105 SPRING ST, SILVER SPRING, MD 20910-4026
- **Practice address phone:** (301) 562-1116
- **Practice address fax:** (301) 562-1317
- **Mailing address:** 1105 SPRING ST, SILVER SPRING, MD 20910-4026
- **Mailing address phone:** (301) 562-1116
- **Mailing address fax:** (301) 562-1317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 18131 | MD | Yes |

## Other

- **Enumeration date:** 08/24/2005
- **Last updated:** 08/22/2020