# OPAL PHYSICAL THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Encore Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255173183
- **Authorized official:** DR. LAURA LIBERATORE TALLMAN PT (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (410) 353-6085

## Contact information

- **Practice address:** 770 RITCHIE HWY STE W23&W24, SEVERNA PARK, MD 21146-4149
- **Practice address phone:** (443) 906-1510
- **Practice address fax:** (443) 906-1511
- **Mailing address:** 770 RITCHIE HWY STE W23&W24, SEVERNA PARK, MD 21146-4149
- **Mailing address phone:** (443) 906-1510
- **Mailing address fax:** (443) 906-1511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/11/2024
- **Last updated:** 09/17/2025