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Organization
SPORT & FAMILY PHYSICAL THERAPY, LLC.
Active
Organization
SPORT & FAMILY PHYSICAL THERAPY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ALAN TOROCKIO P.T. (PHYSICAL THERAPIST)
(410) 552-5632
Entity
Organization
Contact information
Practice address
2470 LONGSTONE LANE, SUITE K, MARRIOTTSVILLE, MD 21104
(410) 442-2470
Mailing address
1160 BREITEN CT, WOODBINE, MD 21797-9205
(410) 795-3289
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17480
MD
Other
Enumeration date
11/15/2006
Last updated
01/03/2012
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