Provider Demographics
NPI:1962646059
Name:PRECISION MOVEMENT PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:PRECISION MOVEMENT PHYSICAL THERAPY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAWNTEL
Authorized Official - Middle Name:K
Authorized Official - Last Name:CHIN
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:301-421-0898
Mailing Address - Street 1:15231 LIONS DEN RD
Mailing Address - Street 2:
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-5601
Mailing Address - Country:US
Mailing Address - Phone:301-421-0898
Mailing Address - Fax:
Practice Address - Street 1:15231 LIONS DEN RD
Practice Address - Street 2:
Practice Address - City:BURTONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20866-5601
Practice Address - Country:US
Practice Address - Phone:301-421-0898
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20306225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty