# LHMG PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1689124729
- **Authorized official:** PETER ODENWALD (VICE PRESIDENT)
- **Authorized official phone:** (443) 481-6415

## Contact information

- **Practice address:** 1106 ANNAPOLIS RD, SUITE 120, ODENTON, MD 21113-1637
- **Practice address phone:** (410) 674-1650
- **Practice address fax:** (410) 674-1651
- **Mailing address:** 1106 ANNAPOLIS RD, SUITE 120, ODENTON, MD 21113-1637
- **Mailing address phone:** (410) 674-1650
- **Mailing address fax:** (410) 674-1651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 10/13/2016
- **Last updated:** 05/24/2021