# FITNESS FORUM OF MARYLAND, LLC

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

## Provider details

- **NPI number:** 1912930835
- **Authorized official:** MRS. JANICE M BALDWIN (REGIONAL MANAGER)
- **Authorized official phone:** (410) 831-3226

## Contact information

- **Practice address:** 2448 HOLLY AVE, SUITE 200, ANNAPOLIS, MD 21401-3148
- **Practice address phone:** (410) 295-4941
- **Practice address fax:** (410) 295-5207
- **Mailing address:** 659 S SALISBURY BLVD, SUITE 1B, SALISBURY, MD 21801-5453
- **Mailing address phone:** (410) 831-3226
- **Mailing address fax:** (410) 572-4041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | — | NULL | Yes |
| 225400000X | Rehabilitation Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 03/04/2024