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Organization

HUMAN PERFORMANCE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DONNA TOBY KIMMEL PHD (PRESIDENT)
(240) 277-4427
Entity
Organization

Contact information

Practice address
2906 AQUARIUS AVE, SILVER SPRING, MD 20906-1813
(240) 277-4427
Mailing address
2906 AQUARIUS AVE, SILVER SPRING, MD 20906-1813
(240) 277-4427

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1926
DC
225100000X
Physical Therapist
15251
MD
225100000X
Physical Therapist
862
DC

Other

Enumeration date
09/27/2007
Last updated
09/27/2007
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