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Organization
SEA BREEZE PHYSICAL THERAPY, LLC
Active
Organization
SEA BREEZE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACY KEITH DPT, PT (PHYSICAL THERAPIST/CEO)
(703) 786-8827
Entity
Organization
Contact information
Practice address
915 BAY RIDGE AVE, ANNAPOLIS, MD 21403-3029
(703) 786-8827
Mailing address
908 BOUCHER AVE, ANNAPOLIS, MD 21403-2302
(703) 786-8827
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25856
MD
Other
Enumeration date
04/07/2016
Last updated
07/12/2016
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