# ASBURY ATLANTIC, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Asbury Solomon's Isalnd
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811429384
- **Authorized official:** MR. BRAD ANDRUS M.A., M.A.G.S (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (410) 394-3030

## Contact information

- **Practice address:** 11100 ASBURY CIR, SOLOMONS, MD 20688-3004
- **Practice address phone:** (410) 394-3000
- **Practice address fax:** (410) 394-3008
- **Mailing address:** 11100 ASBURY CIR, SOLOMONS, MD 20688-3004
- **Mailing address phone:** (410) 394-3000
- **Mailing address fax:** (410) 394-3008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 04/03/2017
- **Last updated:** 04/05/2017