# LHMG PHYSICAL THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Luminis Health PT Bowie
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205460565
- **Authorized official:** PETER ODENWALD (SENIOR MANAGER)
- **Authorized official phone:** (443) 481-6415

## Contact information

- **Practice address:** 4000 MITCHELLVILLE RD STE B116, BOWIE, MD 20716-3143
- **Practice address phone:** (301) 464-4503
- **Mailing address:** 2001 MEDICAL PKWY, ANNAPOLIS, MD 21401-3773
- **Mailing address phone:** (443) 481-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/26/2020
- **Last updated:** 05/24/2021