Provider Demographics
NPI:1821407651
Name:MAN TO MAN PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:MAN TO MAN PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUNGIL
Authorized Official - Middle Name:
Authorized Official - Last Name:HONG
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:917-889-4001
Mailing Address - Street 1:8 BROOKES AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-2753
Mailing Address - Country:US
Mailing Address - Phone:301-880-9119
Mailing Address - Fax:410-896-8888
Practice Address - Street 1:8 BROOKES AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-2753
Practice Address - Country:US
Practice Address - Phone:301-880-9119
Practice Address - Fax:410-896-8888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-06
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD24931225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty