Organization
PHOENIX RISING, PHYSICAL AND MASSAGE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN D DURANA (PHYSICAL THERAPIST)
(202) 496-5305
Entity
Organization
Contact information
Practice address
1050 17TH ST NW, SUITE 1000, WASHINGTON, DC 20036-5503
(202) 496-5305
Mailing address
10756 HOLLAWAY DR, UPPER MARLBORO, MD 20772-4735
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
DC2774
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K2760001
BCBS
DC
Enumeration date
12/28/2007
Last updated
12/28/2007
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