# EAMAN PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1538792148
- **Authorized official:** TAREK A HASSAN (DIRECTOR)
- **Authorized official phone:** (240) 686-5225

## Contact information

- **Practice address:** 15215 SHADY GROVE RD STE 202, ROCKVILLE, MD 20850-6207
- **Practice address phone:** (240) 724-6781
- **Practice address fax:** (888) 607-7117
- **Mailing address:** 19785 CRYSTAL ROCK DR STE 309, GERMANTOWN, MD 20874-4732
- **Mailing address phone:** (240) 686-5225
- **Mailing address fax:** (240) 260-1387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 02/21/2020
- **Last updated:** 02/21/2020