# MASSOUD TALAIE, RPT INC

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

## Provider details

- **NPI number:** 1821359506
- **Authorized official:** MR. MASSOUD TALAIE RPT (OWNER)
- **Authorized official phone:** (301) 897-9187

## Contact information

- **Practice address:** 6410 ROCKLEDGE DR, SUITE 309, BETHESDA, MD 20817-1809
- **Practice address phone:** (301) 897-9187
- **Practice address fax:** (301) 530-4120
- **Mailing address:** 6410 ROCKLEDGE DR, SUITE 309, BETHESDA, MD 20817-1809
- **Mailing address phone:** (301) 897-9187
- **Mailing address fax:** (301) 530-4120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 15789 | MD | Yes |

## Other

- **Enumeration date:** 05/30/2012
- **Last updated:** 05/30/2012