Provider Demographics
NPI:1992026835
Name:JUNG ORTHOPEDIC & SPORTS PHYSIOTHERAPY INSTITUTE
Entity Type:Organization
Organization Name:JUNG ORTHOPEDIC & SPORTS PHYSIOTHERAPY INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSTITUTE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:C
Authorized Official - Last Name:JUNG
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, OCS, FAAOMPT
Authorized Official - Phone:240-786-8048
Mailing Address - Street 1:3260 NILE LN
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20724-6127
Mailing Address - Country:US
Mailing Address - Phone:240-786-8048
Mailing Address - Fax:301-776-7283
Practice Address - Street 1:3260 NILE LN
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20724-6127
Practice Address - Country:US
Practice Address - Phone:240-786-8048
Practice Address - Fax:301-776-7283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-15
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22943261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy