Organization
MANUAL & SPORTS PHYSICAL THERAPY LLC
Active
Parent organization
MANUAL & SPORTS PHYSICAL THERAPY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MANUAL & SPORTS PHYSICAL THERAPY, LLC
Authorized official
MS. KATHERINE MERRYLEES MARINOS PT (PRESIDENT)
(301) 770-1613
Entity
Organization
Contact information
Practice address
121 CONGRESSIONAL LN, SUITE 602, ROCKVILLE, MD 20852-1542
(301) 770-1613
(301) 770-1615
Mailing address
5 BRIGHTON TER, GAITHERSBURG, MD 20877-1814
(301) 330-4693
(301) 330-4693
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
19756
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11249358
CAQH
—
Enumeration date
02/07/2008
Last updated
04/20/2008
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