Organization
ACE THERAPEUTIX AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADA EZEANI MS, OTR/L (OWNER)
(301) 332-8441
Entity
Organization
Contact information
Practice address
10750 RHODE ISLAND AVE, BELTSVILLE, MD 20705-2513
(301) 937-1632
Mailing address
10750 RHODE ISLAND AVE, BELTSVILLE, MD 20705-2513
(301) 332-8441
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/03/2016
Last updated
05/20/2024
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