Organization
RENEW PHYSICAL THERAPY AND WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAMARA EVETTE JOHNSON MSPT (PHYSICAL THERAPIST)
(301) 613-2011
Entity
Organization
Contact information
Practice address
938 E SWAN CREEK RD, SUITE 269, FORT WASHINGTON, MD 20744-5250
(301) 613-2011
Mailing address
938 E SWAN CREEK RD, SUITE 269, FORT WASHINGTON, MD 20744-5250
(301) 613-2011
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
20141
MD
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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