# LA PLATA PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1376731026
- **Authorized official:** JANE CUNNINGHAM (CEO)
- **Authorized official phone:** (301) 392-3700

## Contact information

- **Practice address:** 101 CENTENNIAL ST, SUITE C, LA PLATA, MD 20646-5975
- **Practice address phone:** (301) 392-3700
- **Practice address fax:** (301) 392-3876
- **Mailing address:** P.O. BOX 1732, LA PLATA, MD 20646
- **Mailing address phone:** (301) 391-3700
- **Mailing address fax:** (301) 392-3876

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 15290 | MD | Yes |

## Other

- **Enumeration date:** 10/09/2007
- **Last updated:** 09/05/2008