Organization
SPORTS HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN ANNE HERNANDEZ DPT (OWNER)
(240) 583-0749
Entity
Organization
Contact information
Practice address
10521 PATUXENT RIDGE WAY, LAUREL, MD 20723-5719
(240) 583-0749
Mailing address
10521 PATUXENT RIDGE WAY, LAUREL, MD 20723-5719
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
20594
MD
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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