Organization
CAMPUS CARE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIVEDITHA JAGALUR MANJUNATHA PT (PHYSICAL THERAPIST)
(240) 907-8898
Entity
Organization
Contact information
Practice address
4701 MELBOURNE PL, COLLEGE PARK, MD 20740-2540
(240) 907-8898
Mailing address
PO BOX 1053, BELTSVILLE, MD 20704-1053
(240) 907-8898
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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