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Organization
UNIVERSITY OF MARYLAND MEDICAL REGIONAL PROFESSIONAL SERVICES, LLC
Active
Organization
UNIVERSITY OF MARYLAND MEDICAL REGIONAL PROFESSIONAL SERVICES, LLC
Active
Other names
Towson Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL NICHOLSON (CHIEF FINANCIAL OFFICER)
(410) 337-1000
Entity
Organization
Contact information
Practice address
8322 BELLONA AVE, SUITE 100, TOWSON, MD 21204-2065
(410) 337-7900
(410) 337-5321
Mailing address
7601 OSLER DR, TOWSON, MD 21204-7700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17135
MD
225X00000X
Occupational Therapist
01908
MD
Other
Enumeration date
07/16/2012
Last updated
09/14/2021
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