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1336877448
EBENEZER RIVERSON
GERMANTOWN, MD
NPI
1336877448
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 29079)
Enumeration Date
2022-08-08
Last Update Date
2023-08-19
Business Address
EBENEZER RIVERSON
20410 OBSERVATION DR STE 205
GERMANTOWN, MD 20876-6422
Phone number: 301-528-8096
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Mailing Address
EBENEZER RIVERSON
201 RUSSELL AVE
GAITHERSBURG, MD 20877-2800
Phone number:
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