# ADVANCED & INTEGRATED PAIN MANAGEMENT, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Liberty Chiropractic & Physical Therapy Center at Randallstown
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134440092
- **Authorized official:** DR. SUE ELLEN PODMIJERSKY D.C. (MANAGING MEMBER)
- **Authorized official phone:** (443) 272-6763

## Contact information

- **Practice address:** 8507 LIBERTY ROAD, SUITE L1, RANDALLSTOWN, MD 21133
- **Practice address phone:** (443) 272-6763
- **Practice address fax:** (443) 272-7834
- **Mailing address:** P.O. BOX 298, SEVERNA PARK, MD 21146
- **Mailing address phone:** (443) 272-6763
- **Mailing address fax:** (443) 272-7834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | S01679 | MD | Yes |

## Other

- **Enumeration date:** 06/15/2010
- **Last updated:** 11/09/2016