Organization
ADVANCE PHYSICAL THERAPY & SPORTS REHAB. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIAN CUBA RUTA D.P.T. (PRESIDENT)
(301) 570-3588
Entity
Organization
Contact information
Practice address
3411 OLANDWOOD CT, SUITE 106, OLNEY, MD 20832-1488
(240) 750-9966
(301) 774-1336
Mailing address
3411 OLANDWOOD CT, SUITE 106, OLNEY, MD 20832-1488
(240) 750-9966
(301) 774-1336
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
18214
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
355103200
—
MD
Enumeration date
02/12/2009
Last updated
04/18/2012
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