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Organization
LHMG PHYSICAL THERAPY, LLC
Active
Organization
LHMG PHYSICAL THERAPY, LLC
Active
Other names
AAMG Physcial Therapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PETER ODENWALD (SENIOR MANAGER)
(443) 481-6415
Entity
Organization
Contact information
Practice address
1630 MAIN ST STE 109, CHESTER, MD 21619-2792
(443) 481-1140
Mailing address
2001 MEDICAL PKWY OFC, ANNAPOLIS, MD 21401-3773
(443) 481-5618
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MD
Enumeration date
10/15/2019
Last updated
05/24/2021
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