# SEVERNA PARK PHYSICAL THERAPY INC.

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

## Provider details

- **NPI number:** 1437233491
- **Authorized official:** DR. JOHN FRANCIS VANWIE P.D. (VICE PRESIDENT)
- **Authorized official phone:** (301) 346-2657

## Contact information

- **Practice address:** 844 RITCHIE HWY, SUITE 208, SEVERNA PARK, MD 21146-4127
- **Practice address phone:** (410) 544-0773
- **Practice address fax:** (410) 544-0774
- **Mailing address:** 248 EARECKSON LN, STEVENSVILLE, MD 21666-3040
- **Mailing address phone:** (410) 643-0877
- **Mailing address fax:** (410) 643-1175

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 15365 | MD | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 08/22/2020
