# EVIDENCE PHYSICAL THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EvidencePT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831493030
- **Authorized official:** MRS. HASSANA MOSES SHRM-CP (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (301) 352-8370

## Contact information

- **Practice address:** 12150 ANNAPOLIS RD STE 201, GLENN DALE, MD 20769
- **Practice address phone:** (301) 352-8370
- **Practice address fax:** (301) 352-8372
- **Mailing address:** 12150 ANNAPOLIS RD, SUITE 201, GLENN DALE, MD 20769-9183
- **Mailing address phone:** (301) 352-8370
- **Mailing address fax:** (301) 352-8372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251X0800X | Orthopedic Physical Therapist | 21846 | MD | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/03/2011
- **Last updated:** 12/05/2024