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Organization
MT. WASHINGTON PEDIATRIC COMMUNITY HEALTH SERVICES, LLC
Active
Organization
MT. WASHINGTON PEDIATRIC COMMUNITY HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MILLER (CHIEF FINANCIAL OFFICER)
(410) 578-5163
Entity
Organization
Contact information
Practice address
138 INDUSTRY LN, UNIT 5A, FOREST HILL, MD 21050-1741
(410) 367-2222
Mailing address
1708 W ROGERS AVE, ATTN: FINANCE, BALTIMORE, MD 21209-4545
(410) 578-5163
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/09/2016
Last updated
03/17/2017
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