# BETTERU PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1760992556
- **Authorized official:** JEOVANY QUINTANILLA (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (301) 590-5059

## Contact information

- **Practice address:** 8 RUSSELL AVE STE 102, GAITHERSBURG, MD 20877-2962
- **Practice address phone:** (240) 474-5564
- **Practice address fax:** (240) 474-5437
- **Mailing address:** 13524 BONNIE DALE DR, NORTH POTOMAC, MD 20878-3904
- **Mailing address phone:** (301) 590-5059

## Taxonomy

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

## Other

- **Enumeration date:** 10/05/2017
- **Last updated:** 10/05/2017