Organization
MASSOUD TALAIE, RPT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MASSOUD TALAIE RPT (OWNER)
(301) 897-9187
Entity
Organization
Contact information
Practice address
6410 ROCKLEDGE DR, SUITE 309, BETHESDA, MD 20817-1809
(301) 897-9187
(301) 530-4120
Mailing address
6410 ROCKLEDGE DR, SUITE 309, BETHESDA, MD 20817-1809
(301) 897-9187
(301) 530-4120
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15789
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048884400
—
MD
01
—
1508939448
NPI1
MD
Enumeration date
05/30/2012
Last updated
05/30/2012
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