Professional Sportscare & Rehab, LLC

NPI #1689176364 in Lexington Park, Maryland

Provider Information

NPI Number: 1689176364
Entity Type: Organization
Organization Name: Professional Sportscare & Rehab, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Mar 8, 2018
Last Updated: Jul 22, 2025

Practice Location

Address: 46400 LEXINGTON VILLAGE WAY STE 108
City: Lexington Park
State: Maryland
ZIP Code: 20653-5570
Phone: (301) 789-7020

Authorized Official

Name: JUANA GRANADOS, PESC
Title: MANAGER, CREDENTIALING
Phone: (630) 575-1980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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