Professional Sportscare & Rehab, LLC
NPI #1356966014 in College Park, Maryland
Provider Information
- NPI Number
- 1356966014
- Entity Type
- Organization
- Organization Name
- Professional Sportscare & Rehab, LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jun 9, 2020
- Last Updated
- Dec 6, 2024
Practice Location
- Address
- 4511 KNOX RD STE 102
- City
- College Park
- State
- Maryland
- ZIP Code
- 20740-3380
- Phone
- (301) 277-6616
Authorized Official
- Name
- TASHEDA BROUGHTON, PESC
- Title
- MANAGER, CREDENTIALING
- Phone
- (252) 248-3313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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