# FREE STATE PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1376986851
- **Authorized official:** MS. SHIRLIE B PERRONE P.T. (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (410) 288-1170

## Contact information

- **Practice address:** 314 GERMAN HILL RD, DUNDALK, MD 21222-1527
- **Practice address phone:** (410) 288-1170
- **Practice address fax:** (410) 288-1172
- **Mailing address:** 314 GERMAN HILL RD, DUNDALK, MD 21222-1527
- **Mailing address phone:** (410) 288-1170
- **Mailing address fax:** (410) 288-1172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 20375 | MD | Yes |

## Other

- **Enumeration date:** 04/15/2013
- **Last updated:** 04/15/2013
