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Organization
FORM AND MOTION PHYSICAL THERAPY, LLC
Active
Organization
FORM AND MOTION PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INGRID PAILTHORP (OWNER AND PHYSICAL THERAPIST)
(410) 703-6097
Entity
Organization
Contact information
Practice address
304 B HARRY S. TRUMAN PARKWAY, ANNAPOLIS, MD 21401-7449
(410) 703-6097
Mailing address
304 B HARRY S. TRUMAN PARKWAY, ANNAPOLIS, MD 21401-7449
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23736
MD
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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