Organization
MINDFUL PERFORMANCE CENTER LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY WARREN VIOLAND PTA (OWNER)
(443) 538-5758
Entity
Organization
Contact information
Practice address
6570 DOBBIN RD, COLUMBIA, MD 21045-5855
(443) 538-5758
Mailing address
13380 CLARKSVILLE PIKE STE I, HIGHLAND, MD 20777-9725
(443) 538-5758
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
05/12/2020
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