# BALTIMORE PHYSICAL AQUATIC & SPORTS THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BALTIMORE PHYSICAL, AQUATIC, & SPORTS THERAPY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1902561855
- **Legal business name:** BALTIMORE PHYSICAL, AQUATIC, & SPORTS THERAPY
- **Authorized official:** HEATHER WRIGHT (RCM)
- **Authorized official phone:** (410) 213-5800

## Contact information

- **Practice address:** 598 CRANBROOK RD, COCKEYSVILLE, MD 21030-3702
- **Practice address phone:** (410) 213-5808
- **Practice address fax:** (410) 213-5810
- **Mailing address:** 598 CRANBROOK RD, COCKEYSVILLE, MD 21030-3702
- **Mailing address phone:** (410) 213-5808
- **Mailing address fax:** (410) 213-5810

## Taxonomy

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

## Other

- **Enumeration date:** 11/05/2021
- **Last updated:** 12/09/2021