Organization
PRO PERFORM SPINAL HEALTH & REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMONE SIMMONS (OFFICE MANAGER)
(301) 705-7800
Entity
Organization
Contact information
Practice address
6710 OXON HILL RD, SUITE 400, OXON HILL, MD 20745-1117
(301) 705-7800
(301) 705-7888
Mailing address
12070 OLD LINE CTR, SUITE 301, WALDORF, MD 20602-2513
(301) 705-7800
(301) 705-7888
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
S03581
MD
Other
Enumeration date
10/18/2016
Last updated
02/28/2017
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