# ADVANCED PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1962667642
- **Authorized official:** MR. LEO GORNER PT (PRESIDENT)
- **Authorized official phone:** (410) 580-1320

## Contact information

- **Practice address:** 4000 OLD COURT RD, SUITE 100, BALTIMORE, MD 21208-2891
- **Practice address phone:** (410) 415-0005
- **Practice address fax:** (410) 415-0006
- **Mailing address:** 4000 OLD COURT RD, SUITE 100, BALTIMORE, MD 21208-2800
- **Mailing address phone:** (410) 415-0005
- **Mailing address fax:** (410) 415-0006

## Taxonomy

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

## Other

- **Enumeration date:** 07/22/2008
- **Last updated:** 10/10/2012
