# GLACKIN PHYSIOTHERAPY, LLC

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

## Provider details

- **NPI number:** 1780181305
- **Authorized official:** BRENDAN THOMAS GLACKIN DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (908) 328-3074

## Contact information

- **Practice address:** 9159 RED BRANCH RD STE B, COLUMBIA, MD 21045-2041
- **Practice address phone:** (301) 887-5689
- **Mailing address:** 247 S ROBINSON ST, BALTIMORE, MD 21224-2215
- **Mailing address phone:** (908) 328-3074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 25821 | MD | Yes |

## Other

- **Enumeration date:** 04/10/2018
- **Last updated:** 04/28/2024