Organization Name: | SPORTS PRO PHYSICAL THERAPY LLC. |
NPI Number: | 1932576378 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DARYL ANDREW CLARKE (OWNER) |
Mailing Address: | 12200 Annapolis Rd #119 Glenn Dale |
State: | MD US |
Postal Code: | 207699182 |
Phone Number: | 3018055006 |
Fax Number: | 3018055004 |
NPI Enumeration Date: | 09/01/2015 |
NPI Last Update Date: | 09/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |