# CHARM CITY THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Charm City Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609204999
- **Authorized official:** ELANA WISE OT (OCCUPATION THERAPIST)
- **Authorized official phone:** (404) 502-6942

## Contact information

- **Practice address:** 7 GWYNNS MILL CT STE I, OWINGS MILLS, MD 21117-3528
- **Practice address phone:** (410) 849-9496
- **Mailing address:** 2405 STEELE RD, BALTIMORE, MD 21209-3924
- **Mailing address phone:** (410) 849-9496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 05807 | MD | — |

## Other

- **Enumeration date:** 10/23/2013
- **Last updated:** 08/09/2024