Organization
AAA PHYSICAL THERAPY, LLC
Active
Other names
AAA PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
ROEL MANUEL EVANGELISTA MA (MANAGING MEMBER)
(443) 979-7171
Entity
Organization
Contact information
Practice address
8975 GUILFORD RD STE 170, COLUMBIA, MD 21046-2389
(443) 722-1366
(667) 200-5908
Mailing address
8975 GUILFORD RD STE 170, COLUMBIA, MD 21046-2389
(443) 722-1366
(667) 200-5908
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
523804800
—
MD
Enumeration date
09/06/2011
Last updated
08/28/2020
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