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Organization
ATLANTIC PHYSICAL THERAPY REHABILITATION AND SPORTS MEDICINE INC
Active
Organization
ATLANTIC PHYSICAL THERAPY REHABILITATION AND SPORTS MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN CUMMINGS (CORPORATE MANAGER)
(410) 208-3630
Entity
Organization
Contact information
Practice address
1406 S SALISBURY BLVD STE B, SALISBURY, MD 21801-7162
(443) 736-4091
(443) 736-4358
Mailing address
11070 CATHELL RD STE 4, BERLIN, MD 21811-9344
(410) 208-3630
(410) 208-3633
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
713M
MEDICARE PTAN
MD
Enumeration date
11/22/2016
Last updated
11/23/2016
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