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Organization
MOSADDEGH PHYSICAL THERAPY INC
Active
Organization
MOSADDEGH PHYSICAL THERAPY INC
Active
Other names
Physical Therapy Sports Medicine Center
Organization subpart
No
Provider details
NPI number
Authorized official
SOHALIA MOSADDEGH PT, DPT (CEO)
(301) 774-1789
Entity
Organization
Contact information
Practice address
7301 E. FURNACE BRANCH RD., STE. A, GLEN BURNIE, MD 21060-1059
(443) 422-3500
(443) 422-3513
Mailing address
7500 HANOVER PKWY, STE. 103, CREENBELT, MD 20770-0000
(301) 446-1644
(301) 446-1647
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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