Form & Function Physical Therapy Llc | |
5924 Marlboro Pike, District Heights, MD 20747-1142 | |
(202) 316-3658 | |
(301) 967-1215 |
Full Name | Form & Function Physical Therapy Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 5924 Marlboro Pike, District Heights, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508080219 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 20814 (Maryland) | Primary |
Provider Name | Kevin A Anderson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225248693 PECOS PAC ID: 7517144306 Enrollment ID: I20110603000160 |
Mailing Address | Practice Location Address |
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Form & Function Physical Therapy Llc 5924 Marlboro Pike, District Heights, MD 20747-1142 Ph: () - | Form & Function Physical Therapy Llc 5924 Marlboro Pike, District Heights, MD 20747-1142 Ph: (202) 316-3658 |
Kevin A Anderson, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5924 Marlboro Pike, District Heights, MD 20747 Phone: 301-967-1215 | |
Kinofit Physical Therapy Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2810 Walters Lane Suite 100, District Heights, MD 20747 Phone: 301-965-0348 Fax: 202-318-8492 | |
Dr. Jamar Domonic Smith, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2810 Walters Lane Suite 100, District Heights, MD 20747 Phone: 301-965-0348 Fax: 202-318-8492 |