MEDICARE: ASPEN HILL PHYSICAL THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center	24360	MD

General Provider Information

NPI Number	:	1093127870
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASPEN HILL PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	12006 VEIRS MILL RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20906
Country	:	US
Telephone Number	:	301-949-1470
Fax Number	:

Provider Business Practice Location Address
First Line	:	3041 BEL PRE RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-2407
Country	:	US
Telephone Number	:	718-801-3293
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	MRS. OLUWASEYI TITILOLA KARIMU
Credential	:	PT
Telephone Number	:	718-801-3293

Provider Enumeration Date	:	05/28/2014
Last Update Date	:	03/30/2015

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