Provider Demographics
NPI:1962688606
Name:DRM BODY IMAGE
Entity Type:Organization
Organization Name:DRM BODY IMAGE
Other - Org Name:DRM REHABILITAION & WELLNESS SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-905-8300
Mailing Address - Street 1:5412 MARSHALLS CHOICE DR
Mailing Address - Street 2:SUITE #1B
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5412 MARSHALLS CHOICE DR
Practice Address - Street 2:SUITE #1B
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-6309
Practice Address - Country:US
Practice Address - Phone:301-464-1006
Practice Address - Fax:301-464-2534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-11
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA2625225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty