Organization
INTEGRATIVE MANUAL PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNE GIST (DIRECTOR/PROVIDER)
(301) 565-4925
Entity
Organization
Contact information
Practice address
8505 FENTON ST, SUITE 202, SILVER SPRING, MD 20910-4497
(301) 565-4925
Mailing address
8631 INDIAN SPRINGS RD, LAUREL, MD 20724-1949
(240) 603-1909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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