# BIRCH TREE PHYSICAL THERAPY AND WELLNESS, LLC

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

## Provider details

- **NPI number:** 1225650633
- **Authorized official:** DR. SEAN VINCENT MCCOMISKEY PT, DPT (OWNER, PHYSICAL THERAPIST)
- **Authorized official phone:** (443) 977-4470

## Contact information

- **Practice address:** 2000 GIRARD AVE, BALTIMORE, MD 21211-1595
- **Practice address phone:** (443) 977-4470
- **Mailing address:** 611 S PACA ST, BALTIMORE, MD 21230-2411
- **Mailing address phone:** (443) 801-1472

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/08/2020
- **Last updated:** 05/08/2020
