# KOTH THERAPY & FITNESS, LLC

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

## Provider details

- **NPI number:** 1881722775
- **Authorized official:** CHRISTOPHER R KOTH PT (PT)
- **Authorized official phone:** (301) 884-0331

## Contact information

- **Practice address:** 30387 THREE NOTCH ROAD, CHARLOTTE HALL, MD 20622-3183
- **Practice address phone:** (301) 884-0331
- **Practice address fax:** (301) 472-4388
- **Mailing address:** PO BOX 398, CHARLOTTE HALL, MD 20622-0398
- **Mailing address phone:** (301) 884-0331
- **Mailing address fax:** (301) 472-4388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 458R | MD | Yes |

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 08/01/2016