Organization
PREMIER PHYSICAL MEDICINE & REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENSON TERRY (CEO)
(240) 676-2626
Entity
Organization
Contact information
Practice address
1717 LARGO RD, UPPER MARLBORO, MD 20774-8524
(240) 510-0483
Mailing address
1717 LARGO RD, UPPER MARLBORO, MD 20774-8524
(240) 510-0483
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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