# HGI MOBILE PHYSICAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609478114
- **Authorized official:** COLEMAN MILLER (OWNER)
- **Authorized official phone:** (732) 668-6258

## Contact information

- **Practice address:** 4511 MAINE AVE, BALTIMORE, MD 21207-7566
- **Practice address phone:** (732) 668-6258
- **Mailing address:** 4511 MAINE AVE, BALTIMORE, MD 21207-7566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/10/2020
- **Last updated:** 11/10/2020