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Organization
GOOD SHEPHERD PHYSICAL THERAPY AND WELLNESS CENTER,LLC
Active
Organization
GOOD SHEPHERD PHYSICAL THERAPY AND WELLNESS CENTER,LLC
Active
Parent organization
GOOD SHEPHERD PHYSICAL THERAPY AND WELLNESS CENTER, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOOD SHEPHERD PHYSICAL THERAPY AND WELLNESS CENTER, LLC
Authorized official
MAY G. RIVERA (PRESIDENT)
(240) 483-3146
Entity
Organization
Contact information
Practice address
16220 FREDERICK RD., STE. 325, GAITHERSBURG, MD 20877-4000
(301) 771-1344
(240) 387-7387
Mailing address
11119 ROCKVILLE PIKE STE 316, ROCKVILLE, MD 20852-3143
(301) 771-1344
(240) 387-7387
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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