Organization
PHYSICAL THERAPY AND PAIN MANAGEMENT CENTER LLC
Active
Parent organization
PHYSICAL THERAPY AND PAIN MANAGEMENT CENTER LLC
Other names
College Park Physical Therapy & Hand Rehabilitation
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHYSICAL THERAPY AND PAIN MANAGEMENT CENTER LLC
Authorized official
MR. DAVID MICHAEL BULLOCK P.T. (FOUNDER)
(301) 592-8200
Entity
Organization
Contact information
Practice address
4595 VAN BUREN ST STE 210, RIVERDALE PARK, MD 20737-1080
(301) 864-0009
(301) 864-0012
Mailing address
4595 VAN BUREN ST STE 210, RIVERDALE PARK, MD 20737-1080
(301) 864-0009
(301) 864-0012
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
07/01/2022
Last updated
01/30/2023
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