Organization
PROFESSIONAL SPORTSCARE AND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD PATTEE (PHYSICAL THERAPY DIRECTOR)
(410) 884-6000
Entity
Organization
Contact information
Practice address
203 GRINDALL ST, BALTIMORE, MD 21230-4103
(410) 884-6000
Mailing address
203 GRINDALL ST, BALTIMORE, MD 21230-4103
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
25MT00193100
NJ
302F00000X
Exclusive Provider Organization
Primary
A00308
MD
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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