# DRAYER PHYSICAL THERAPY OF MARYLAND LLC

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

## Provider details

- **NPI number:** 1912528274
- **Authorized official:** BEVERLY ANN THOMAS (PROV ENROLLMENT CRED SPECIALIST)
- **Authorized official phone:** (717) 839-2159

## Contact information

- **Practice address:** 11710 E MARKET PLACE, SUITE F, FULTON, MD 20759
- **Practice address phone:** (301) 490-0419
- **Practice address fax:** (410) 490-1260
- **Mailing address:** 5300 DERRY ST FL 2, HARRISBURG, PA 17111-3576
- **Mailing address phone:** (717) 839-2110
- **Mailing address fax:** (717) 565-1934

## Taxonomy

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

## Other

- **Enumeration date:** 04/28/2020
- **Last updated:** 05/12/2020