# LHMG PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1750769055
- **Authorized official:** PETER ODENWALD (VICE PRESIDENT)
- **Authorized official phone:** (443) 481-6415

## Contact information

- **Practice address:** 4175 N HANSON CT, SUITE 301, BOWIE, MD 20716-3179
- **Practice address phone:** (301) 805-7004
- **Practice address fax:** (301) 352-0173
- **Mailing address:** 2000 MEDICAL PKWY, SUITE 101, ANNAPOLIS, MD 21401-3742
- **Mailing address phone:** (410) 268-8862
- **Mailing address fax:** (410) 280-4701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 05/07/2015
- **Last updated:** 05/24/2021