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Organization

EVIDENCE PHYSICAL THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HASSANA MOSES (PRACTICE ADMINISTRATOR)
(301) 352-8370
Entity
Organization

Contact information

Practice address
14501 BALTIMORE AVE, LAUREL, MD 20707-4901
(301) 799-9466
(301) 799-9467
Mailing address
12150 ANNAPOLIS RD STE 201, GLENN DALE, MD 20769-9183
(301) 352-8370
(301) 352-8372

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
11/27/2024
Last updated
11/27/2024
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