# FIRSTLINE LYMPH AND PELVIC THERAPY LLC

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

## Provider details

- **NPI number:** 1619756327
- **Authorized official:** MIJEONG JOO-BUNYARD DPT (PHYSICAL THERAPIST/CEO)
- **Authorized official phone:** (667) 212-7773

## Contact information

- **Practice address:** 5850 WATERLOO RD STE 140-237, COLUMBIA, MD 21045-1941
- **Practice address phone:** (667) 212-7773
- **Mailing address:** 5942 FLOREY RD, HANOVER, MD 21076-1384
- **Mailing address phone:** (667) 212-7773

## Taxonomy

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

## Other

- **Enumeration date:** 09/22/2023
- **Last updated:** 04/20/2026
