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4595 Van Buren St Ste 210 Riverdale Park MD 20737-1080 | |
(301) 864-0009 | |
(301) 864-0012 |
Full Name | |
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Speciality | Clinic/center - Rehabilitation |
Location | 4595 Van Buren St Ste 210, Riverdale Park, Maryland |
Authorized Official Name and Position | David Michael Bullock (FOUNDER) |
Authorized Official Contact | 3015928200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4595 Van Buren St Ste 210 Riverdale Park MD 20737-1080 Ph: (301) 864-0009 | 4595 Van Buren St Ste 210 Riverdale Park MD 20737-1080 Ph: (301) 864-0009 |
NPI Number | 1982337424 |
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Provider Enumeration Date | 07/01/2022 |
Last Update Date | 01/30/2023 |
Identifier | Type | State | Issuer |
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1982337424 | NPI | - | NPPES |