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Organization
SAGE PHYSICAL THERAPY & WELLNESS LLC
Active
Organization
SAGE PHYSICAL THERAPY & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD SIGMON (INTERIM CCO)
(410) 970-8190
Entity
Organization
Contact information
Practice address
405B S JEFFERSON ST, FREDERICK, MD 21701-6272
(301) 662-9335
(301) 662-9337
Mailing address
PO BOX 745944, ATLANTA, GA 30374-5944
(410) 970-8177
(410) 313-8024
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225100000X
Physical Therapist
Primary
—
—
225XH1200X
Hand Occupational Therapist
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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