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Organization
PINE HEIGHTS INTEGRATIVE HEALTH, LLC
Active
Organization
PINE HEIGHTS INTEGRATIVE HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS BLACKWELL (OFFICE MANAGER)
(301) 575-6549
Entity
Organization
Contact information
Practice address
1001 PINE HEIGHTS AVE STE 304, BALTIMORE, MD 21229-5285
(240) 614-6369
(301) 476-0418
Mailing address
30 W GUDE DR STE 375, ROCKVILLE, MD 20850-4300
(240) 614-6369
(301) 545-0885
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
NULL
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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