Organization
FIRSTLINE LYMPH AND PELVIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIJEONG JOO-BUNYARD DPT (PHYSICAL THERAPIST/CEO)
(667) 212-7773
Entity
Organization
Contact information
Practice address
5850 WATERLOO RD STE 140-237, COLUMBIA, MD 21045-1941
(667) 212-7773
Mailing address
5942 FLOREY RD, HANOVER, MD 21076-1384
(667) 212-7773
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/22/2023
Last updated
04/20/2026
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