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Organization
360 THERAPY GROUP LLC
Active
Organization
360 THERAPY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIMERE BECOTE (OWNER)
(410) 805-9464
Entity
Organization
Contact information
Practice address
2446 N CHARLES ST, BALTIMORE, MD 21218-5113
(410) 413-6786
(410) 413-6792
Mailing address
2446 N CHARLES ST, BALTIMORE, MD 21218-5113
(410) 413-6786
(410) 413-6792
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
NULL
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
NULL
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
NULL
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
—
NULL
261QH0700X
Hearing and Speech Clinic/Center
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
NULL
261QX0100X
Occupational Medicine Clinic/Center
—
NULL
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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