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Organization
BACK ON TRACK REHAB SERVICES LLC
Active
Organization
BACK ON TRACK REHAB SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHILPA GANDHI (OFFICE MANAGER)
(443) 991-5907
Entity
Organization
Contact information
Practice address
7801 YORK RD, SUITE 224, TOWSON, MD 21204-7446
(443) 991-5907
(443) 548-0904
Mailing address
7801 YORK RD, SUITE 224, TOWSON, MD 21204-7446
(443) 991-5907
(443) 548-0904
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/21/2013
Last updated
02/01/2016
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