# PREMIER PHYSICAL MEDICINE & REHABILITATION, LLC.

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

## Provider details

- **NPI number:** 1982829693
- **Authorized official:** DENSON TERRY (CEO)
- **Authorized official phone:** (301) 925-1517

## Contact information

- **Practice address:** 1101 MERCANTILE LN, SUITE 220, LARGO, MD 20774-5360
- **Practice address phone:** (301) 925-1517
- **Practice address fax:** (301) 925-1674
- **Mailing address:** PO BOX 6302, CAPITOL HEIGHTS, MD 20791-6302
- **Mailing address phone:** (301) 925-1517
- **Mailing address fax:** (301) 925-1674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/16/2007
- **Last updated:** 08/22/2020