# FITNESS FORUM OF MARYLAND, LLC

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

## Provider details

- **NPI number:** 1821853441
- **Authorized official:** JANICE M BALDWIN (REGIONAL MANAGER)
- **Authorized official phone:** (410) 831-3226

## Contact information

- **Practice address:** 2448 HOLLY AVE STE 200, ANNAPOLIS, MD 21401-8539
- **Practice address phone:** (410) 295-4941
- **Practice address fax:** (410) 295-5207
- **Mailing address:** 659 S SALISBURY BLVD STE 1B, SALISBURY, MD 21801-5458
- **Mailing address phone:** (410) 831-3226
- **Mailing address fax:** (410) 572-4041

## Taxonomy

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

## Other

- **Enumeration date:** 02/14/2024
- **Last updated:** 02/15/2024