Organization
TYSON TRAINING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH TYSON (OWNER)
(301) 828-7363
Entity
Organization
Contact information
Practice address
4501 FORBES BLVD STE A, LANHAM, MD 20706-4332
(301) 828-7363
Mailing address
4501 FORBES BLVD STE A, LANHAM, MD 20706-4332
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
22203
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22203
PHYSICAL THERAPY LICENSE
MD
Enumeration date
01/25/2018
Last updated
01/25/2018
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