Organization
PHYSICAL THERAPY AND PAIN MANAGEMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LYNNE BARKDOLL (MANAGER)
(301) 592-8200
Entity
Organization
Contact information
Practice address
11120 NEW HAMPSHIRE AVE, SUITE 200, SILVER SPRING, MD 20904-2633
(301) 592-8200
(301) 592-8300
Mailing address
11120 NEW HAMPSHIRE AVE, SUITE 200, SILVER SPRING, MD 20904-2633
(301) 592-8200
(301) 592-8300
Taxonomy
Speciality
Code
Description
License number
State
2251H1200X
Hand Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413765500
—
MD
Enumeration date
02/01/2013
Last updated
02/01/2013
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