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1083096499
REVOLUTION SPORTS MEDICINE
COLUMBIA, MD
NPI
1083096499
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Entity Type
Organization
Authorized Contact
TIMOTHY P. LOUGHLIN
President
240-512-0190
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2015-06-22
Last Update Date
2016-12-14
Business Address
REVOLUTION SPORTS MEDICINE
6570 DOBBIN RD
COLUMBIA, MD 21045-5855
Phone number: 240-512-0190
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Mailing Address
REVOLUTION SPORTS MEDICINE
6570 DOBBIN RD
COLUMBIA, MD 21045-5855
Phone number: 240-512-0190
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