Organization
HOLISTIC ACUPUNCTURE AND PHYSICAL THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIE X DENG P.T., L.AC. (OWNER)
(301) 987-0596
Entity
Organization
Contact information
Practice address
957 RUSSELL AVE, SUITE B, GAITHERSBURG, MD 20879-6215
(301) 987-0596
(301) 987-0398
Mailing address
957 RUSSELL AVE, SUITE B, GAITHERSBURG, MD 20879-6215
(301) 987-0596
(301) 987-0398
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410117100
—
MD
Enumeration date
10/25/2006
Last updated
03/01/2017
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