MEDICARE: PURE SYMMETRY, 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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1952064586
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PURE SYMMETRY, LLC

Provider Business Mailing Address
First Line	:	705 STILL CREEK LN
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20878-3217
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5110 RIDGEFIELD RD STE 410
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20816-3346
Country	:	US
Telephone Number	:	240-601-3399
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PHYSICAL THERAPIST
Name	:	MARCIE SCHWARTZ
Credential	:	MPT
Telephone Number	:	240-601-3399

Provider Enumeration Date	:	10/20/2021
Last Update Date	:	10/20/2021

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