Provider Demographics
NPI:1770242752
Name:THE HEALING LAB PHYSICAL THERAPY AND WELLNESS SOLUTIONS, LLC
Entity Type:Organization
Organization Name:THE HEALING LAB PHYSICAL THERAPY AND WELLNESS SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPY AND OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:D
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:240-233-2077
Mailing Address - Street 1:7101 RIVERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-1246
Mailing Address - Country:US
Mailing Address - Phone:301-467-6557
Mailing Address - Fax:
Practice Address - Street 1:7101 RIVERWOOD DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-1246
Practice Address - Country:US
Practice Address - Phone:240-233-2077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-16
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy