Organization
SOUTHERN MARYLAND MYOFASCIAL RELEASE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER ALLEN PT (PRESIDENT/PHYSICAL THERAPIST)
(410) 449-6682
Entity
Organization
Contact information
Practice address
90 HOLIDAY DRIVE, SUITE C AND D1, SOLOMONS, MD 20688
(410) 449-6682
(410) 449-6684
Mailing address
12699 CHEYENNE TRL, LUSBY, MD 20657-4512
(410) 449-6682
(410) 449-6684
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
20414
MD
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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