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Organization
STRIVE SPORTS MEDICINE PHYSICAL THERAPY, LLC
Active
Organization
STRIVE SPORTS MEDICINE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS JAMES LIGHT PT (OWNER)
(443) 370-2106
Entity
Organization
Contact information
Practice address
206 N FRUITLAND BLVD, FRUITLAND, MD 21826-1717
(410) 324-3301
(443) 775-7728
Mailing address
PO BOX 475, FRUITLAND, MD 21826-0475
(410) 324-3301
(443) 775-7728
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/25/2020
Last updated
04/10/2022
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