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Organization
PHYSICAL THERAPY AND PAIN MANAGEMENT CENTER LLC
Active
Organization
PHYSICAL THERAPY AND PAIN MANAGEMENT CENTER LLC
Active
Parent organization
PHYSICAL THERAPY AND PAIN MANAGEMENT CENTER LLC
Other names
College Park Physical Therapy & Hand Rehabilitation
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHYSICAL THERAPY AND PAIN MANAGEMENT CENTER LLC
Authorized official
MR. DAVID MICHAEL BULLOCK P.T. (FOUNDER)
(301) 592-8200
Entity
Organization
Contact information
Practice address
4595 VAN BUREN ST STE 210, RIVERDALE PARK, MD 20737-1080
(301) 864-0009
(301) 864-0012
Mailing address
4595 VAN BUREN ST STE 210, RIVERDALE PARK, MD 20737-1080
(301) 864-0009
(301) 864-0012
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL
Other
Enumeration date
07/01/2022
Last updated
01/30/2023
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