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Organization subpart
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Provider details

NPI number
Authorized official
BETSY SMITH PTA (OWNER)
(301) 750-4034
Entity
Organization

Contact information

Practice address
7 W HANEKAMP ST, LONACONING, MD 21539-1012
(301) 750-4034
Mailing address
517 FORESTER AVE, CUMBERLAND, MD 21502-1025
(301) 750-4034

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL

Other

Enumeration date
10/10/2022
Last updated
10/10/2022
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