# ANNAPOLIS FAMILY PHYSICAL THERAPY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225645195
- **Authorized official:** JOHN DOUGLASS WALLOP (PRESIDENT)
- **Authorized official phone:** (410) 266-6626

## Contact information

- **Practice address:** 979 BAY VILLAGE DR, ANNAPOLIS, MD 21403-4089
- **Practice address phone:** (410) 266-6626
- **Mailing address:** 2564 RIVA RD, ANNAPOLIS, MD 21401-7405
- **Mailing address phone:** (410) 266-6626

## Taxonomy

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

## Other

- **Enumeration date:** 09/25/2020
- **Last updated:** 09/25/2020