Organization
RESURGENT PERFORMANCE PT
Active
Other names
Resurgent Performance Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS FREDERICK VAN ORNUM DPT (OWNER/FOUNDER)
(240) 261-6136
Entity
Organization
Contact information
Practice address
16810 OAKMONT AVE, GAITHERSBURG, MD 20877-4110
(240) 261-6136
Mailing address
16810 OAKMONT AVE, GAITHERSBURG, MD 20877-4110
(240) 261-6136
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
25246
MD
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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