Organization
MAXIMUM PERFORMANCE PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATHIAS CLIFFORD BODDICKER III DPT (PHYSICAL THERAPIST)
(302) 382-4684
Entity
Organization
Contact information
Practice address
14435 CHERRY LANE CT, LAUREL, MD 20707-4959
(301) 776-3665
(301) 776-6669
Mailing address
14435 CHERRY LANE CT, LAUREL, MD 20707-4959
(301) 776-3665
(301) 776-6669
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
25618
MD
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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