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Organization
LHMG PHYSICAL THERAPY, LLC
Active
Organization
LHMG PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER ODENWALD (VICE PRESIDENT)
(443) 481-6415
Entity
Organization
Contact information
Practice address
820 RITCHIE HWY STE 100, SEVERNA PARK, MD 21146-4111
(443) 481-1140
(667) 777-4185
Mailing address
201 DEFENSE HWY STE 100, ANNAPOLIS, MD 21401-8902
(166) 720-4700
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/11/2018
Last updated
05/24/2021
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