Organization
PRESTIGE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD E DIXON JR. (OWNER)
(240) 207-3090
Entity
Organization
Contact information
Practice address
23202 BREWERS TAVERN WAY, CLARKSBURG, MD 20871-4391
(240) 207-3090
(240) 207-2182
Mailing address
23202 BREWERS TAVERN WAY, CLARKSBURG, MD 20871-4391
(240) 207-3090
(240) 207-2182
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/05/2008
Last updated
12/24/2008
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