# PHYSICAL AND SPORTS REHAB CONSULTANTS, LLC

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

## Provider details

- **NPI number:** 1639472095
- **Authorized official:** MR. PAUL A HEATH PT (CEO/ EXECUTIVE DIRECTOR)
- **Authorized official phone:** (301) 802-3690

## Contact information

- **Practice address:** 2520 MOORES PLAINS BLVD, UPPER MARLBORO, MD 20774-8027
- **Practice address phone:** (301) 802-3690
- **Practice address fax:** (301) 627-1191
- **Mailing address:** 2520 MOORES PLAINS BLVD, UPPER MARLBORO, MD 20774-8027
- **Mailing address phone:** (301) 802-3690
- **Mailing address fax:** (301) 627-1191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 21076 | MD | Yes |

## Other

- **Enumeration date:** 12/07/2010
- **Last updated:** 12/07/2010