Organization
FOREVER FIT PHYSICAL THERAPY & WELLNESS, LLC
Active
Parent organization
FOREVER FIT PHYSICAL THERAPY & WELLNESS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOREVER FIT PHYSICAL THERAPY & WELLNESS LLC
Authorized official
RYAN C FREDERIC (MEMBER)
(301) 421-1125
Entity
Organization
Contact information
Practice address
3901 NATIONAL DR, SUITE 100, BURTONSVILLE, MD 20866-1141
(301) 421-1125
(301) 500-2175
Mailing address
PO BOX 356, BURTONSVILLE, MD 20866-0356
(301) 421-1125
(301) 500-2175
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/16/2014
Last updated
05/12/2016
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