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Organization
OPAL PHYSICAL THERAPY, LLC
Active
Organization
OPAL PHYSICAL THERAPY, LLC
Active
Other names
Encore Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA LIBERATORE TALLMAN PT (OWNER/PHYSICAL THERAPIST)
(410) 353-6085
Entity
Organization
Contact information
Practice address
770 RITCHIE HWY STE W23&W24, SEVERNA PARK, MD 21146-4149
(443) 906-1510
(443) 906-1511
Mailing address
770 RITCHIE HWY STE W23&W24, SEVERNA PARK, MD 21146-4149
(443) 906-1510
(443) 906-1511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/11/2024
Last updated
09/17/2025
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