Organization
PROGRESSIVE SPINAL AND SPORTS REHABILITATION, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN H PARK D.C. (OWNER)
(240) 477-8719
Entity
Organization
Contact information
Practice address
15200 SHADY GROVE RD, SUITE 211, ROCKVILLE, MD 20850-3218
(240) 477-8719
Mailing address
15200 SHADY GROVE RD, SUITE 211, ROCKVILLE, MD 20850-3218
(240) 477-8719
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
02093
MD
Other
Enumeration date
01/31/2007
Last updated
02/02/2010
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