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Organization
MID-ATLANTIC SPORTS THERAPY & REHABILITATION, LLC
Active
Organization
MID-ATLANTIC SPORTS THERAPY & REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN D MADDOCK (CHIEF EXECUTIVE OFFICER)
(410) 644-1880
Entity
Organization
Contact information
Practice address
3421 BENSON AVE, SUITE 100, BALTIMORE, MD 21227-1056
(410) 644-1880
(410) 644-6048
Mailing address
3421 BENSON AVE, SUITE 100, BALTIMORE, MD 21227-1056
(410) 644-1880
(410) 644-6048
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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