Organization
DYNAMIX CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCUS PRICE (PRESIDENT)
(240) 297-0072
Entity
Organization
Contact information
Practice address
9111 EDMONSTON RD, GREENBELT, MD 20770-1544
(301) 513-0101
Mailing address
9111 EDMONSTON RD, GREENBELT, MD 20770-1544
(301) 513-0101
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
20009
MD
225XP0200X
Pediatric Occupational Therapist
04380
MD
225XP0200X
Pediatric Occupational Therapist
Primary
04551
MD
225XP0200X
Pediatric Occupational Therapist
06270
MD
235Z00000X
Speech-Language Pathologist
04476
MD
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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