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Organization
PHYSICAL & SPORTS REHAB INC
Active
Organization
PHYSICAL & SPORTS REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL ANTHONY HEATH PT (FOUNDER & EXECUTIVE DIRECTOR)
(301) 658-6881
Entity
Organization
Contact information
Practice address
1401 MERCANTILE LN, SUITE 107, LARGO, MD 20774-4301
(301) 658-6881
(301) 322-2563
Mailing address
1401 MERCANTILE LN, SUITE 107, LARGO, MD 20774-4301
(301) 658-6881
(301) 322-2563
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/07/2011
Last updated
03/26/2012
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