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General NPI Number Information
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NPI Number | 1316769177
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Entity Type | Organization
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Legal Business Name | PROACTIVE HAND AND PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 10/31/2024
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 7501 GREENWAY CENTER DR STE 220
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City | GREENBELT
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State | MD
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Zip | 20770-3514
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Country | US
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Telephone | 240-965-7358
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Fax |
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Provider Business Mailing Address
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Address Line | 9420 KEY WEST AVE STE 140
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City | ROCKVILLE
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State | MD
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Zip | 20850-6332
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Country | US
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Telephone | 301-545-1677
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Fax | 301-545-1675
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Authorized Official
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Title or Position | OWNER
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Name | BRET GREBOWSKY
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Credential | PT
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Telephone | 301-545-1677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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