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Organization
ANNAPOLIS LYMPHEDEMA CENTER
Active
Organization
ANNAPOLIS LYMPHEDEMA CENTER
Active
Other names
Annapolis Lymphedema and Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY D KINDER PT (PRESIDENT)
(410) 266-8010
Entity
Organization
Contact information
Practice address
2525 RIVA RD STE 130, ANNAPOLIS, MD 21401-7437
(410) 266-8010
(443) 782-2498
Mailing address
2525 RIVA RD STE 130, ANNAPOLIS, MD 21401-7437
(410) 266-8010
(443) 782-2498
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3010823
AETNA HEALTHCARE
MD
05
—
406989700
—
MD
01
—
50458
MAMSI HEALTH CARE
MD
01
—
KBY1AN
BLUE SHIELD OF MARYLAND
MD
01
—
S441
BLUE SHIELD OF DC
MD
Enumeration date
12/11/2006
Last updated
03/05/2024
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