Organization
LHMG PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER ODENWALD (VICE PRESIDENT)
(443) 481-6415
Entity
Organization
Contact information
Practice address
505 DUTCHMANS LN STE A2, EASTON, MD 21601-4302
(410) 822-2440
(410) 822-2441
Mailing address
8638 VETERANS HWY FL 1, MILLERSVILLE, MD 21108-1422
(667) 204-7051
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MD
Enumeration date
06/05/2017
Last updated
05/24/2021
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