Individual
KALAISLEVI SAMBASIVAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6121 MONTROSE RD, ROCKVILLE, MD 20852-4803
(301) 816-7700
Mailing address
6121 MONTROSE RD, ROCKVILLE, MD 20852-4803
(301) 816-7700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23849
MD
Other
Enumeration date
08/25/2018
Last updated
08/25/2018
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