| NPI | 1174079545 |
|---|---|
| Doing Business As | RESURGENT PERFORMANCE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | THOMAS FREDERICK VAN ORNUM Owner/Founder 240-261-6136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MD 25246) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |