Organization
POOLESVILLE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA KAPSIAK HESS PT (OWNER)
(301) 349-5443
Entity
Organization
Contact information
Practice address
19628 FISHER AVE, POOLESVILLE, MD 20837-2065
(301) 349-5443
(301) 349-2074
Mailing address
19628 FISHER AVE, POOLESVILLE, MD 20837-2065
(301) 349-5443
(301) 349-2074
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
15401
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15401
STATE LICENSE
MD
Enumeration date
02/20/2007
Last updated
04/01/2008
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