Organization
MAXIMUM PERFORMANCE PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN M RICH (CFO)
(301) 776-6669
Entity
Organization
Contact information
Practice address
1360 BLAIR DR, SUITE D, ODENTON, MD 21113-1343
(410) 672-8970
(410) 672-8973
Mailing address
14435 CHERRY LANE CT, SUITE 100, LAUREL, MD 20707-4959
(301) 776-3665
(301) 776-6669
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19310
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4578031 01
—
MD
Enumeration date
06/24/2008
Last updated
12/15/2016
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