| |
9500 Pennsylvania Ave Ste 6, Upper Marlboro, MD 20772-3658 | |
(301) 599-8420 | |
(301) 599-8280 |
Full Name | |
---|---|
Type | Facility |
Speciality | Durable Medical Equipment & Medical Supplies |
Location | 9500 Pennsylvania Ave Ste 6, Upper Marlboro, Maryland |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316635170 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
9500 Pennsylvania Ave Ste 6, Upper Marlboro, MD 20772-3658 Ph: (301) 599-8420 | 9500 Pennsylvania Ave Ste 6, Upper Marlboro, MD 20772-3658 Ph: (301) 599-8420 |