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Organization
OPTIMUMCARECENTER
Active
Organization
OPTIMUMCARECENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUE LEACH (OWNER)
(410) 523-6900
Entity
Organization
Contact information
Practice address
2423 REISTERSTOWN RD, BALTIMORE, MD 21217-2001
(410) 523-6900
(410) 523-7109
Mailing address
2423 REISTERSTOWN RD, BALTIMORE, MD 21217-2001
(410) 523-6900
(410) 523-7109
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S01615
MD
Other
Enumeration date
05/08/2007
Last updated
08/22/2020
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