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General NPI Number Information
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NPI Number | 1770721383
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Entity Type | Organization
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Legal Business Name | ABSOLUTE REHABILITATIVE THERAPY, INC
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Dates
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Enumeration Date | 02/04/2009
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Last Update Date | 04/25/2018
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Provider Practice Location Address
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Address Line | 9841 GREENBELT RD STE 103
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City | LANHAM
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State | MD
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Zip | 20706-6216
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Country | US
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Telephone | 301-220-2316
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Fax | 301-220-2319
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Provider Business Mailing Address
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Address Line | 7501 GREENWAY CENTER DR SUITE 800
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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 | 301-220-2316
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Fax | 301-220-2319
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. DERRICK A MARTIN
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Credential | PT
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Telephone | 301-220-2316
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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