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Organization
RAVENWOOD REHABILITATION CENTER LLC
Active
Organization
RAVENWOOD REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA PLINER PHYSICAL THERAPIST (PRESIDENT)
(410) 580-1320
Entity
Organization
Contact information
Practice address
201 MILFORD MILL RD, SUITE 101, BALTIMORE, MD 21208-5903
(410) 415-0005
(410) 415-0006
Mailing address
201 MILFORD MILL RD, SUITE 101, BALTIMORE, MD 21208-5903
(410) 415-0005
(410) 415-0006
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19589 AND 16840
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
510121200
—
MD
01
—
KCT9RA
BLUE CROSS,SHIELD GROUP#
MD
Enumeration date
06/14/2006
Last updated
09/11/2008
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