Healthcare Provider Details

I. General information

NPI: 1477475945
Provider Name (Legal Business Name): WUTZUPDOC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6720B ROCKLEDGE DR
BETHESDA MD
20817-1884
US

IV. Provider business mailing address

6720B ROCKLEDGE DR
BETHESDA MD
20817-1884
US

V. Phone/Fax

Practice location:
  • Phone: 240-770-2129
  • Fax: 240-770-2129
Mailing address:
  • Phone: 240-770-2129
  • Fax: 240-770-2129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MAGGIE YUE
Title or Position: MANAGING MEMBER
Credential:
Phone: 240-770-2129