# LIFE FITNESS PHYSICAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIFE FITNESS PHYSICAL THERAPY LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1548418932
- **Legal business name:** LIFE FITNESS PHYSICAL THERAPY LLC
- **Authorized official:** LAWRANCE W MCAFEE (CFO)
- **Authorized official phone:** (713) 297-7000

## Contact information

- **Practice address:** 9110 PHILADELPHIA RD STE 104, BALTIMORE, MD 21237-4323
- **Practice address phone:** (410) 686-8922
- **Practice address fax:** (410) 686-8923
- **Mailing address:** 1406B CRAIN HWY S, SUITE 107, GLEN BURNIE, MD 21061-4099
- **Mailing address phone:** (410) 590-2334
- **Mailing address fax:** (410) 590-2336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2008
- **Last updated:** 05/29/2019
