Organization
ELITE PT BALTIMORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE F QUEALE MPT (OWNER)
(410) 528-9127
Entity
Organization
Contact information
Practice address
655 PRESIDENT ST, BALTIMORE, MD 21202-4472
(410) 528-9127
(410) 528-9128
Mailing address
655 PRESIDENT ST, BALTIMORE, MD 21202-4472
(410) 528-9127
(410) 528-9128
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/02/2018
Last updated
12/02/2018
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