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Organization
OPTIMAL PHYSICAL THERAPY
Active
Organization
OPTIMAL PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL LYNN TAMERIS MSPT (OWNER/PHYSICAL THERAPIST)
(301) 855-6326
Entity
Organization
Contact information
Practice address
10020 SOUTHERN MARYLAND BLVD STE 103, DUNKIRK, MD 20754-3036
(301) 855-6326
(301) 855-6328
Mailing address
10020 SOUTHERN MARYLAND BLVD STE 103, DUNKIRK, MD 20754-3036
(301) 855-6326
(301) 855-6328
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19922
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3128965
OPTIMUM CHOICE PROVIDER
MD
01
—
45519
INJURED WORKERS INS FUND
MD
01
—
743BOP
BCBS MD PROVIDER NUMBER
MD
01
—
K4980001
BCBS DC PROVIDER NUMBER
MD
Enumeration date
07/19/2006
Last updated
09/19/2007
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