# MAXIMUM PERFORMANCE PHYSICAL THERAPY, INC

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

## Provider details

- **NPI number:** 1558522318
- **Authorized official:** MR. KEVIN M RICH (CFO)
- **Authorized official phone:** (301) 776-6669

## Contact information

- **Practice address:** 1360 BLAIR DR, SUITE D, ODENTON, MD 21113-1343
- **Practice address phone:** (410) 672-8970
- **Practice address fax:** (410) 672-8973
- **Mailing address:** 14435 CHERRY LANE CT, SUITE 100, LAUREL, MD 20707-4959
- **Mailing address phone:** (301) 776-3665
- **Mailing address fax:** (301) 776-6669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 19310 | MD | Yes |

## Other

- **Enumeration date:** 06/24/2008
- **Last updated:** 12/15/2016