| Shake The Dust Therapy, Llc | |
|
11509 Sir Spencer Way Germantown MD 20876-5446 | |
| (301) 717-8124 | |
| Not Available |
| Full Name | Shake The Dust Therapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11509 Sir Spencer Way, Germantown, Maryland |
| Authorized Official Name and Position | Michele Arora (RESIDENT AGENT) |
| Authorized Official Contact | 2408130511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shake The Dust Therapy, Llc 267 Kentlands Blvd Gaithersburg MD 20878-5446 Ph: () - | Shake The Dust Therapy, Llc 11509 Sir Spencer Way Germantown MD 20876-5446 Ph: (301) 717-8124 |
| NPI Number | 1609575612 |
|---|---|
| Provider Enumeration Date | 02/28/2023 |
| Last Update Date | 09/25/2024 |
| Certification Date | 09/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609575612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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