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Organization
POTOMAC PHYSICAL THERAPY LLC
Active
Organization
POTOMAC PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN RENEE COLVIN DPT (OWNER)
(301) 567-8856
Entity
Organization
Contact information
Practice address
3010 CRAIN HWY, SUITE 100, WALDORF, MD 20601-2801
(301) 567-8856
Mailing address
3010 CRAIN HWY, SUITE 100, WALDORF, MD 20601-2801
(301) 567-8856
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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