Organization
TOTAL HEALTH & REHAB CHIROPRACTIC-PHYSICAL THERAPY-WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL ANTICO D.C. (OWNER)
(443) 259-0235
Entity
Organization
Contact information
Practice address
8894 STANFORD BLVD, SUITE 102, COLUMBIA, MD 21045-4794
(443) 259-0235
Mailing address
8894 STANFORD BLVD, SUITE 102, COLUMBIA, MD 21045-4794
(443) 259-0235
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
S01939
MD
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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