# MONTGOMERY THERAPY & WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Amputee Walking Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700257862
- **Authorized official:** MR. PAUL MICHAEL WHITTAKER M.P.T. (PRESIDENT)
- **Authorized official phone:** (301) 417-2652

## Contact information

- **Practice address:** 4000 OLD COURT RD, SUITE 105, PIKESVILLE, MD 21208-2800
- **Practice address phone:** (410) 484-8610
- **Mailing address:** 15245 SHADY GROVE RD, C-100, ROCKVILLE, MD 20850-3222
- **Mailing address phone:** (301) 417-2652

## Taxonomy

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

## Other

- **Enumeration date:** 10/15/2015
- **Last updated:** 10/15/2015