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Organization
DUNDALK VILLAGE THERAPY, INC.
Active
Organization
DUNDALK VILLAGE THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY DESALES SCHROEN P.T.A, (VICE PRESIDENT, TREASURER)
(410) 282-9331
Entity
Organization
Contact information
Practice address
2 DUNMANWAY, SUITE 220, BALTIMORE, MD 21222-5144
(410) 282-9331
(410) 282-9332
Mailing address
2 DUNMANWAY, SUITE 220, BALTIMORE, MD 21222-5144
(410) 282-9331
(410) 282-9332
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806700700
—
MD
01
—
LM06
CAREFIRST BLUE CROSS
MD
01
—
R058 0001
BLUE CHOICE
MD
Enumeration date
04/19/2007
Last updated
01/10/2013
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