# BACK HOME THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BACK HOME THERAPY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1700564481
- **Legal business name:** BACK HOME THERAPY
- **Authorized official:** RENA CHERNOFF (OFFICE MANAGER)
- **Authorized official phone:** (410) 415-3743

## Contact information

- **Practice address:** 3101 FALLSTAFF RD, BALTIMORE, MD 21209-2967
- **Practice address phone:** (410) 415-3743
- **Mailing address:** 3118 MARNAT RD, BALTIMORE, MD 21208-4503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/11/2023
- **Last updated:** 08/19/2025