# GOLDEN AGE THERAPY LLC

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

## Provider details

- **NPI number:** 1407293384
- **Authorized official:** GIL NAVE (PRESIDENT)
- **Authorized official phone:** (240) 483-6804

## Contact information

- **Practice address:** 313 LORRAINE DR, ROCKVILLE, MD 20852-4144
- **Practice address phone:** (240) 483-6804
- **Mailing address:** 313 LORRAINE DR, ROCKVILLE, MD 20852-4144
- **Mailing address phone:** (240) 483-6804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 17184 | NULL | Yes |
| 225100000X | Physical Therapist | 17184 | — | Yes |

## Other

- **Enumeration date:** 05/31/2013
- **Last updated:** 05/31/2013