# KAYMON PHYSICAL THERAPY AND ASSOCIATES

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

## Provider details

- **NPI number:** 1669833661
- **Authorized official:** MS. EARLENE D. JACKSON PT, DPT (PRESIDENT/ CEO)
- **Authorized official phone:** (240) 245-0476

## Contact information

- **Practice address:** 9201 EDGEWORTH DR, \#4251, CAPITOL HEIGHTS, MD 20791-7501
- **Practice address phone:** (240) 245-0476
- **Practice address fax:** (202) 204-5637
- **Mailing address:** 9201 EDGEWORTH DR, \#4251, CAPITOL HEIGHTS, MD 20791-7501
- **Mailing address phone:** (240) 245-0476
- **Mailing address fax:** (202) 204-5637

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 23062 | MD | Yes |

## Other

- **Enumeration date:** 03/18/2016
- **Last updated:** 04/14/2016