Organization
PREMISE HEALTH OF MARYLAND MEDICAL P C
Active
Other names
AZ Employee Health and Wellness Center Gaithersburg Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN B LEIZMAN (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
101 ORCHARD RIDGE DR, GAITHERSBURG, MD 20878-1917
(301) 398-6893
(301) 398-6893
Mailing address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993
(301) 398-6893
(301) 398-6893
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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