# FOUNDATION PELVIC THERAPY

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

## Provider details

- **NPI number:** 1548918220
- **Authorized official:** JENNA HOLMES PT (PHYSICAL THERAPIST, OWNER)
- **Authorized official phone:** (301) 247-1679

## Contact information

- **Practice address:** 14610 POINT LOOKOUT RD, RIDGE, MD 20680-3232
- **Practice address phone:** (301) 247-1679
- **Mailing address:** 14610 POINT LOOKOUT RD, RIDGE, MD 20680-3232
- **Mailing address phone:** (301) 247-1679

## Taxonomy

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

## Other

- **Enumeration date:** 03/12/2022
- **Last updated:** 03/12/2022