Pro-perform Spinal Health & Rehab Llc | |
12070 Old Line Ctr, Suite 301, Waldorf, MD 20602-2513 | |
(301) 705-7800 | |
Not Available |
Full Name | Pro-perform Spinal Health & Rehab Llc |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 12070 Old Line Ctr, Waldorf, Maryland |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851791735 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | S03581 (Maryland) | Primary |
Mailing Address | Practice Location Address |
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Pro-perform Spinal Health & Rehab Llc 12070 Old Line Ctr, Suite 301, Waldorf, MD 20602-2513 Ph: (301) 705-7800 | Pro-perform Spinal Health & Rehab Llc 12070 Old Line Ctr, Suite 301, Waldorf, MD 20602-2513 Ph: (301) 705-7800 |
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