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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FORM & FUNCTION PHYSICAL THERAPY LLC

Active Organization

FORM & FUNCTION PHYSICAL THERAPY LLC is a Physical Therapy Assistant organization located in DISTRICT HEIGHTS, Maryland. NPI 1508080219 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · DISTRICT HEIGHTS, MD

Registration Details

NPI Number
1508080219
Provider Type
Organization
NPI Issued
Apr 12, 2007 (19.344109421702 yrs)
Last Updated
May 27, 2011
License
20814 (MD)

Practice Information

Address
5924 MARLBORO PIKE
DISTRICT HEIGHTS, MD, 207471142
Browse MD providers · Browse ZIP 20747
Phone
2023163658
Fax
3019671215
Primary Specialty
Physical Therapy Assistant
225100000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.