# BOUNCE BACK PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1801945878
- **Authorized official:** MR. DEAN CLATWORTHY PT (MEMBER)
- **Authorized official phone:** (410) 730-8686

## Contact information

- **Practice address:** 5999 HARPERS FARM RD, SUITE W100, COLUMBIA, MD 21044-3013
- **Practice address phone:** (410) 730-8686
- **Practice address fax:** (410) 730-4119
- **Mailing address:** 5999 HARPERS FARM RD, SUITE W100, COLUMBIA, MD 21044-3013
- **Mailing address phone:** (410) 730-8686
- **Mailing address fax:** (410) 730-4119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 20214 | MD | Yes |

## Other

- **Enumeration date:** 01/09/2007
- **Last updated:** 06/05/2008