Organization
SHADY GROVE PHYSICAL THERAPY & REHAB CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRITI W RAINA (PARTNER/PHYSICAL THERAPIST)
(301) 921-9818
Entity
Organization
Contact information
Practice address
8907 SHADY GROVE CT, GAITHERSBURG, MD 20877-1308
(301) 921-9818
(301) 921-0719
Mailing address
8907 SHADY GROVE CT, GAITHERSBURG, MD 20877-1308
(301) 921-9818
(301) 921-0719
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15535
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G00742
GROUP NPI
MD
Enumeration date
10/24/2007
Last updated
03/11/2011
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