# LIFE FITNESS PHYSICAL THERAPY OF BOONSBORO

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

## Provider details

- **NPI number:** 1841207420
- **Authorized official:** ROBIN MELIN TELEMECO (OFFICE MANAGER)
- **Authorized official phone:** (301) 432-6966

## Contact information

- **Practice address:** 9 SAINT PAUL ST, 3RD FLOOR, BOONSBORO, MD 21713-1334
- **Practice address phone:** (301) 432-6966
- **Practice address fax:** (301) 432-8300
- **Mailing address:** 9 SAINT PAUL ST, 3RD FLOOR, BOONSBORO, MD 21713-1334
- **Mailing address phone:** (301) 432-6966
- **Mailing address fax:** (301) 432-8300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 08/22/2020