# LIFE FITNESS PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1932160595
- **Authorized official:** RICHARD BINSTEIN JD (VP, AUTHORIZED OFFICIAL)
- **Authorized official phone:** (713) 297-7000

## Contact information

- **Practice address:** 7671 QUARTERFIELD RD STE 101, GLEN BURNIE, MD 21061
- **Practice address phone:** (410) 590-2334
- **Practice address fax:** (410) 590-2336
- **Mailing address:** 7671 QUARTERFIELD RD STE 101, GLEN BURNIE, MD 21061-4422
- **Mailing address phone:** (410) 590-2334
- **Mailing address fax:** (410) 590-2336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 19961 | NULL | Yes |
| 225100000X | Physical Therapist | 19961 | — | Yes |

## Other

- **Enumeration date:** 03/31/2006
- **Last updated:** 05/21/2018