Organization
JAN ACTIVE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS JAN DPT (CEO)
(301) 744-9673
Entity
Organization
Contact information
Practice address
1509 BAYLOR AVE, ROCKVILLE, MD 20850-1026
(301) 744-9673
Mailing address
1509 BAYLOR AVE, ROCKVILLE, MD 20850-1026
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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