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Organization
EVIDENCE PHYSICAL THERAPY, LLC
Active
Organization
EVIDENCE PHYSICAL THERAPY, LLC
Active
Parent organization
EVIDENCE PHYSICAL THERAPY
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVIDENCE PHYSICAL THERAPY
Authorized official
HASSANA MOSES (PRACTICE ADMINISTRATOR)
(301) 352-8370
Entity
Organization
Contact information
Practice address
7801 OLD BRANCH AVE STE 105, CLINTON, MD 20735-1641
(301) 856-8386
Mailing address
12150 ANNAPOLIS RD STE 201, GLENN DALE, MD 20769-9183
(301) 352-8370
(301) 352-8372
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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