# 3330 WILKENS AVENUE OPERATIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Caton Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538513163
- **Authorized official:** MICHAEL T. BERG (ASSISTANT SECRETARY)
- **Authorized official phone:** (505) 468-4752

## Contact information

- **Practice address:** 3330 WILKENS AVE, BALTIMORE, MD 21229-4610
- **Practice address phone:** (410) 525-1544
- **Mailing address:** 3330 WILKENS AVE, BALTIMORE, MD 21229-4610
- **Mailing address phone:** (410) 525-1544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 30008 | MD | Yes |
| 225X00000X | Occupational Therapist | 30008 | MD | — |

## Other

- **Enumeration date:** 04/20/2016
- **Last updated:** 08/31/2017