Healthcare Provider Details
I. General information
NPI: 1568730463
Provider Name (Legal Business Name): METRO PHYSICAL THERAPY & CHIROPRACTIC CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/06/2011
Last Update Date: 05/13/2021
Certification Date: 05/13/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6119 EXECUTIVE BLVD
ROCKVILLE MD
20852-3901
US
IV. Provider business mailing address
121 CONGRESSIONAL LN STE 403
ROCKVILLE MD
20852-1542
US
V. Phone/Fax
- Phone: 240-418-9239
- Fax: 240-559-0102
- Phone: 240-418-9239
- Fax: 240-559-0102
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111NN0400X |
| Taxonomy | Neurology Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ARASH
SARABI
Title or Position: CEO
Credential: DC
Phone: 240-418-9239