Prestige Physical Therapy LLC

NPI #1124263066 in Clarksburg, Maryland

Provider Information

NPI Number: 1124263066
Entity Type: Organization
Organization Name: Prestige Physical Therapy LLC
Primary Specialty: Specialist
Enumeration Date: Dec 5, 2008
Last Updated: Dec 24, 2008

Practice Location

Address: 23202 BREWERS TAVERN WAY
City: Clarksburg
State: Maryland
ZIP Code: 20871-4391
Phone: (240) 207-3090

Authorized Official

Name: DR. RICHARD E DIXON JR.
Title: OWNER
Phone: (240) 207-3090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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