Healthcare Provider Details

I. General information

NPI: 1962698498
Provider Name (Legal Business Name): STRICKLAND PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2007
Last Update Date: 04/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40900 MERCHANTS LN SUITE 202
LEONARDTOWN MD
20650-3700
US

IV. Provider business mailing address

PO BOX 2327
LEONARDTOWN MD
20650-8327
US

V. Phone/Fax

Practice location:
  • Phone: 301-997-1155
  • Fax:
Mailing address:
  • Phone: 301-997-1155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number19084
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberA2221
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberM03486
License Number StateMD

VIII. Authorized Official

Name: SAMANTHA NICOLE STRICKLAND
Title or Position: CO-OWNER
Credential: P.T.
Phone: 301-997-1155