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Organization
SUMNER FITNESS, INC.
Active
Organization
SUMNER FITNESS, INC.
Active
Other names
Sumner Fitness
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL O'FLAHAVAN (OWNER)
(301) 229-9110
Entity
Organization
Contact information
Practice address
4611 SANGAMORE RD STE K, BETHESDA, MD 20816-2547
(301) 229-9110
(301) 229-9465
Mailing address
4611 SANGAMORE RD STE K, BETHESDA, MD 20816-2547
(301) 229-9110
(301) 229-9465
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21065
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G01412
PROVIDER NUMBER
MD
Enumeration date
04/02/2007
Last updated
01/23/2020
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