Organization
INNOVATIVE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMONA A TAVARES (OWNER)
(240) 770-3505
Entity
Organization
Contact information
Practice address
9470 ANNAPOLIS RD STE 310, LANHAM, MD 20706-3022
(240) 506-7256
(240) 770-4303
Mailing address
9470 ANNAPOLIS RD STE 310, LANHAM, MD 20706-3022
(240) 506-7256
(240) 770-4303
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/13/2016
Last updated
09/18/2024
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