Physical Medicine/rehab

NPI #1255636858 in Bowie, Maryland

Provider Information

NPI Number
1255636858
Entity Type
Organization
Organization Name
Physical Medicine/rehab
Primary Specialty
Physical Medicine & Rehabilitation - Pain Medicine
Enumeration Date
Jan 13, 2011
Last Updated
Jan 13, 2011

Practice Location

Address
4000 MITCHELLVILLE RD
Address 2
SUITE 324 B
City
Bowie
ZIP Code
20716-3104
Phone
(301) 860-0306

Authorized Official

Name
DR. NICHOLETTE MARTIN-DAVIS
Title
MD
Phone
(301) 860-0305

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation - Pain MedicinePain Medicine

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Organizations

Provider Name
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