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NPI Code Detail

MEDICARE: THIS DOCTOR MAKES HOUSECALLS LLC

MEDICARE: THIS DOCTOR MAKES HOUSECALLS 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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1326752031
Entity Type Code : Organization
Provider Name (Legal Business Name) : THIS DOCTOR MAKES HOUSECALLS LLC
Provider Business Mailing Address
First Line : 7404 EXECUTIVE PL STE 400
Second Line :
City : LANHAM
State : MD
Zip : 20706-6228
Country : US
Telephone Number : 240-384-6404
Fax Number : 888-388-0828
Provider Business Practice Location Address
First Line : 7404 EXECUTIVE PL STE 400
Second Line :
City : LANHAM
State : MD
Zip : 20706-6228
Country : US
Telephone Number : 240-384-6404
Fax Number : 888-388-0828
Authorized Official
Title or Position : DOCTOR OF PHYSICAL THERAPY
Name : DR. CAMAEL MARIE CLARKE
Credential : DPT
Telephone Number : 202-751-1882
Provider Enumeration Date : 01/09/2023
Last Update Date : 01/25/2023

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Directions to “THIS DOCTOR MAKES HOUSECALLS LLC ” Practice Location

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