Organization
CAM PHYSICAL THERAPY AND WELLNESS SERVICES LLC
Active
Parent organization
CAM PHYSICAL THERAPY AND WELLNESS SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAM PHYSICAL THERAPY AND WELLNESS SERVICES LLC
Authorized official
JANESA PAVER (PRACTICE ADMINISTRATOR)
(301) 853-0093
Entity
Organization
Contact information
Practice address
12150 ANNAPOLIS RD STE 305, GLENN DALE, MD 20769-9183
(301) 853-0093
(301) 853-0096
Mailing address
14205 PARK CENTER DR STE 204, LAUREL, MD 20707-5252
(301) 853-0093
(301) 853-0096
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
336305802
—
MD
Enumeration date
10/02/2019
Last updated
08/22/2024
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