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Organization
BOUNCE BACK PHYSICAL THERAPY LLC
Active
Organization
BOUNCE BACK PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEAN CLATWORTHY PT (MEMBER)
(410) 730-8686
Entity
Organization
Contact information
Practice address
5999 HARPERS FARM RD, SUITE W100, COLUMBIA, MD 21044-3013
(410) 730-8686
(410) 730-4119
Mailing address
5999 HARPERS FARM RD, SUITE W100, COLUMBIA, MD 21044-3013
(410) 730-8686
(410) 730-4119
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
20214
MD
Other
Enumeration date
01/09/2007
Last updated
06/05/2008
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