Organization
MONTGOMERY THERAPY & WELLNESS LLC
Active
Other names
The Amputee Walking Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL MICHAEL WHITTAKER M.P.T. (PRESIDENT)
(301) 417-2652
Entity
Organization
Contact information
Practice address
4000 OLD COURT RD, SUITE 105, PIKESVILLE, MD 21208-2800
(410) 484-8610
Mailing address
15245 SHADY GROVE RD, C-100, ROCKVILLE, MD 20850-3222
(301) 417-2652
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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