Organization
PEDIATRIC THERAPY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN M RODRIGUEZ PT (MEMBER OF LLC)
(301) 942-6006
Entity
Organization
Contact information
Practice address
12122 HERITAGE PARK CIR # A, SILVER SPRING, MD 20906-4554
(301) 942-6006
(301) 942-4513
Mailing address
12122 HERITAGE PARK CIR # A, SILVER SPRING, MD 20906-4554
(301) 942-6006
(301) 942-4513
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14423
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A690PE
CAREFIRST BC BS
MD
01
—
S958
BC BS FEP PLAN
MD
Enumeration date
01/20/2007
Last updated
08/22/2020
About Stedi
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