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Organization
RENEW PHYSICAL THERAPY AND WELLNESS CENTER, LLC
Active
Organization
RENEW PHYSICAL THERAPY AND WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAMARA EVETTE JOHNSON MSPT (PHYSICAL THERAPIST)
(301) 613-2011
Entity
Organization
Contact information
Practice address
938 E SWAN CREEK RD, SUITE 269, FORT WASHINGTON, MD 20744-5250
(301) 613-2011
Mailing address
938 E SWAN CREEK RD, SUITE 269, FORT WASHINGTON, MD 20744-5250
(301) 613-2011
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
20141
MD
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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