# MARYLAND PHYSICAL THERAPY AND WELLNESS CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1629334644
- **Authorized official:** MARINA KACHURINER DPT (OWNER)
- **Authorized official phone:** (410) 913-5933

## Contact information

- **Practice address:** 7350 VAN DUSEN RD, SUITE 110, LAUREL, MD 20707-5263
- **Practice address phone:** (410) 913-5933
- **Mailing address:** 4982 DORSEY HALL DR, UNIT C5, ELLICOTT CITY, MD 21042-7775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 20615 | MD | Yes |

## Other

- **Enumeration date:** 04/03/2012
- **Last updated:** 04/03/2012