Organization
CAMBRIDGE PHYSICAL THERAPY AND SPORTS CARE, LLC
Active
Other names
PROFESSIONAL PHYSICAL THERAPY AND SPORTS CARE
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER THROCKMORTON (CEO)
(919) 258-2714
Entity
Organization
Contact information
Practice address
321 DORCHESTER AVE, SUITE B, CAMBRIDGE, MD 21613-2425
(410) 228-5100
(410) 228-7479
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 258-2714
(410) 820-4330
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402750700
—
MD
01
—
827311
PRIORITY PARTNERS
MD
01
—
G540
BCHOICE-FED BC
—
01
—
KDE4
BC
MD
Enumeration date
12/28/2006
Last updated
10/15/2019
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