# CHESAPEAKE BAY AQUATIC & PHYSICAL THERAPY, INC

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

## Provider details

- **NPI number:** 1831411271
- **Authorized official:** MORRIS B GOLDMAN (OWNER)
- **Authorized official phone:** (301) 262-5852

## Contact information

- **Practice address:** 314 MARSHALL AVE, LAUREL, MD 20707-4823
- **Practice address phone:** (301) 498-2212
- **Practice address fax:** (301) 498-2213
- **Mailing address:** PO BOX 4058, CROFTON, MD 21114-4058
- **Mailing address phone:** (301) 262-5852
- **Mailing address fax:** (301) 262-3173

## Taxonomy

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

## Other

- **Enumeration date:** 02/26/2010
- **Last updated:** 05/19/2010
