# LIFE FITNESS PHYSICAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIFE FITNESS PHYSICAL THERAPY LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215185608
- **Legal business name:** LIFE FITNESS PHYSICAL THERAPY LLC
- **Authorized official:** JANNA P KING (VP, AUTHORIZED OFFICIAL)
- **Authorized official phone:** (713) 297-7000

## Contact information

- **Practice address:** 3350 WILKENS AVE, SUITE 303, BALTIMORE, MD 21229-4600
- **Practice address phone:** (410) 368-1026
- **Practice address fax:** (410) 368-1047
- **Mailing address:** 3350 WILKENS AVE, SUITE 303, BALTIMORE, MD 21229-4600
- **Mailing address phone:** (410) 368-1026
- **Mailing address fax:** (410) 368-1047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2008
- **Last updated:** 08/28/2008