# EASTERN SHORE PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1356473318
- **Authorized official:** MR. MARTIN WEINSTEIN PT (PRESIDENT)
- **Authorized official phone:** (410) 641-2900

## Contact information

- **Practice address:** 314 FRANKLIN AVE STE 405, BERLIN, MD 21811-1263
- **Practice address phone:** (410) 641-2900
- **Practice address fax:** (410) 641-2914
- **Mailing address:** 314 FRANKLIN AVE STE 405, BERLIN, MD 21811-1263
- **Mailing address phone:** (410) 641-2900
- **Mailing address fax:** (410) 641-2914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 18883 | MD | Yes |
| 225100000X | Physical Therapist | 19301 | MD | — |
| 225200000X | Physical Therapy Assistant | A2461 | MD | — |

## Other

- **Enumeration date:** 03/12/2007
- **Last updated:** 09/11/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 402788400 | — | MD |
