Organization
DISTRICT CORE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIA MONTGOMERY (OWNER)
(313) 286-7142
Entity
Organization
Contact information
Practice address
3920 LIVINGSTON ST, HYATTSVILLE, MD 20781-1739
(313) 286-7142
Mailing address
3920 LIVINGSTON ST, HYATTSVILLE, MD 20781-1739
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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