Organization
GREEN TREE THERAPEUTICS LLC
Active
Other names
White Oak Physical Therapy and Pain Management Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MICHAEL BULLOCK P.T. (FOUNDER & CHAIRMAN)
(301) 592-8200
Entity
Organization
Contact information
Practice address
11120 NEW HAMPSHIRE AVE, SUITE 506, SILVER SPRING, MD 20904-2633
(301) 592-8200
(301) 592-8300
Mailing address
11120 NEW HAMPSHIRE AVE, SUITE 506, SILVER SPRING, MD 20904-2633
(301) 592-8200
(301) 592-8300
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
21045
MD
225400000X
Rehabilitation Practitioner
PT870409
DC
Other
Enumeration date
04/10/2007
Last updated
03/10/2008
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