# LHMG PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1720549330
- **Authorized official:** PETER ODENWALD (VICE PRESIDENT-PHYSICIAN SERVICES)
- **Authorized official phone:** (443) 481-6415

## Contact information

- **Practice address:** 161 JENNIFER RD STE A, ANNAPOLIS, MD 21401-3367
- **Practice address phone:** (443) 481-1140
- **Mailing address:** PO BOX 15945, BELFAST, ME 04915-4054

## Taxonomy

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

## Other

- **Enumeration date:** 03/27/2019
- **Last updated:** 05/24/2021
