Provider Demographics
NPI:1467053991
Name:MOVE FORWARD PHYSICAL THERAPY
Entity Type:Organization
Organization Name:MOVE FORWARD PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZEENAT
Authorized Official - Middle Name:
Authorized Official - Last Name:BAWANGAONWALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-745-6822
Mailing Address - Street 1:7621 BRAELANDS DR
Mailing Address - Street 2:
Mailing Address - City:SUMMERFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27358-9363
Mailing Address - Country:US
Mailing Address - Phone:443-745-6822
Mailing Address - Fax:
Practice Address - Street 1:7621 BRAELANDS DR
Practice Address - Street 2:
Practice Address - City:SUMMERFIELD
Practice Address - State:NC
Practice Address - Zip Code:27358-9363
Practice Address - Country:US
Practice Address - Phone:443-745-6822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy