Organization
NULIFE PHYSICAL THERAPY P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUNMI HAMMONTREE (OFFICE MANAGER)
(240) 498-7693
Entity
Organization
Contact information
Practice address
14701 LEE HWY, SUITE # 206, CENTREVILLE, VA 20121-2114
(571) 215-5061
Mailing address
1324 HAMPSHIRE DR, FREDERICK, MD 21702-1185
(301) 360-9986
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2305102993
VA
Other
Enumeration date
11/16/2005
Last updated
08/22/2020
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