Evidence Physical Therapy, LLC

NPI #1982176988 in Clinton, Maryland

Provider Information

NPI Number: 1982176988
Entity Type: Organization
Organization Name: Evidence Physical Therapy, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: EVIDENCE PHYSICAL THERAPY
Primary Specialty: Physical Therapist
Enumeration Date: Jan 2, 2019
Last Updated: Jan 2, 2019

Practice Location

Address: 7801 OLD BRANCH AVE STE 105
City: Clinton
State: Maryland
ZIP Code: 20735-1641
Phone: (301) 856-8386

Authorized Official

Name: HASSANA MOSES
Title: PRACTICE ADMINISTRATOR
Phone: (301) 352-8370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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