# EMBARK PHYSIO AND PERFORMANCE

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

## Provider details

- **NPI number:** 1386416881
- **Authorized official:** ZACHARY HUNTER WOOLEVER PT, DPT (FOUNDER)
- **Authorized official phone:** (603) 562-8175

## Contact information

- **Practice address:** 180 PENROD CT, GLEN BURNIE, MD 21061-2837
- **Practice address phone:** (443) 256-6748
- **Mailing address:** 7705 LEXINGTON CT, GLEN BURNIE, MD 21061-7505

## Taxonomy

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

## Other

- **Enumeration date:** 10/27/2023
- **Last updated:** 06/09/2025
