Organization
PRIMEPHYSICALTHERAPYLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WON YOO P.T., D.P.T. (OWNER)
(757) 615-8409
Entity
Organization
Contact information
Practice address
1332 LONDONTOWN BLVD, ELDERSBURG, MD 21784-6587
(443) 531-5888
(410) 877-2002
Mailing address
1332 LONDONTOWN BLVD, ELDERSBURG, MD 21784-6587
(443) 531-5888
(410) 877-2002
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
23717
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3099202 00
—
MD
Enumeration date
01/28/2017
Last updated
11/28/2017
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