Organization
ACTIVE PHYSICAL THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY PAUL (CREDENTIAL COORDINATOR)
(410) 970-8190
Entity
Organization
Contact information
Practice address
405 S JEFFERSON ST UNIT B, FREDERICK, MD 21701-6272
(301) 662-9335
Mailing address
PO BOX 419666, BOSTON, MA 02241-0966
(410) 970-8190
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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